Intravenous trimethaphan during epidural plus general anesthesia decreases the direct radial artery pressure lower than the brachial artery pressure

Journal of Clinical Anesthesia

Volumn 8, Issue 3, 1996, Pages 180-187

  Nagata, Naoto ^a   Takasaki, Mayumi ^a   Ibusuki, Shoichiro ^a   Taniguchi, Masahiko ^a   Kondo, Osamu ^a  

^a UNIVERSITY OF MIYAZAKI   (Japan)

Author keywords

Anesthetic techniques; blood pressure, tonometry; epidural, induced hypotension; measurement techniques; nitroprusside, trimethaphan; pharmacology

Indexed keywords

NITROPRUSSIDE SODIUM; TRIMETAPHAN; VASODILATOR AGENT;

ADULT; ANESTHESIA MECHANISM; ARTERIAL PRESSURE; ARTICLE; BRACHIAL ARTERY; CLINICAL ARTICLE; EPIDURAL ANESTHESIA; FEMALE; HUMAN; HUMAN CELL; HUMAN TISSUE; INDUCED HYPOTENSION; MALE; OSTEOTOMY; PRESSURE MEASUREMENT; PRIORITY JOURNAL; RADIAL ARTERY; VASODILATATION;

EID: 0029920294     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/0952-8180(95)00199-9     Document Type: Article

References (20)

1. Kroeker EJ, Wood EH: Comparison of simultaneously recorded central and peripheral arterial pressure pulses during rest, exercise and tilted position in man. Circ Res 1955;3:623-32.
2. Bazaral MG, Welch M, Golding LA, Badhwar K: Comparison of brachial and radial arterial pressure monitoring in patients undergoing coronary artery bypass surgery. Anesthesiology 1990;73:38-45.
3. Goh R, Saito T, Arase T, Higuchi S: A comparison of intra-arterial, oscillometric and auscultatory measurements of blood pressure - influence of blood pressure level and arteriosclerosis. Jpn J Anesthesiol 1988;37:189-96.
4. Gardner RM: Direct blood pressure measurement - dynamic response requirements. Anesthesiology 1981;54:227-36.
5. Schwid HA: Frequency response evaluation of radial artery catheter-manometer systems: sinusoidal frequency analysis versus flush method. J Clin Monit 1988;4:181-5.
6. Takasaki M, Oh-oka T, Doi K, Kosaka Y: Blood levels of mepivacaine during continuous epidural anesthesia. Anesth Analg 1987; 66:337-40.
7. Kemmotsu O, Ueda M, Otsuka H, Yamamura T, Winter DC, Eckerle JS: Arterial tonometry for noninvasive, continuous blood pressure monitoring during anesthesia. Anesthesiology 1991;75:333-40.
8. Kemmotsu O, Ueda M, Otsuka H, et al: Blood pressure measurement by arterial tonometry in controlled hypotension. Anesth Analg 1991;73:54-8.
9. McCarthy G: Effect of general anesthetics on peripheral blood flow. Int Anesthesiol Clin 1969;7:287-301.
10. Fox RH, Edholm OG: Nervous control of the cutaneous circulation. Br Med Bull 1963;19:110-4.
11. Longnecker DE: The microvascular response to hypotensive drugs. In: Enderby GE (ed): Hypotensive Anaesthesia. Edinburgh: Churchill Livingstone, 1985:54-65.
12. Cousins MJ, Bromage PR: Epidural neural blockade. In: Cousins MJ, Bridenbaugh PO (eds): Neural Blockade in Clinical Anesthesia and Management of Pain. Philadelphia: JB Lippincott, 1988:253-360.
13. Shimosato S, Etsten BE: The role of the venous system in cardiocirculatory dynamics during spinal and epidural anesthesia in man. Anesthesiology 1969;30:619-28.
14. Bonica JJ, Berges PU, Morikawa K: Circulatory effects of peridural block. I. Effects of level of analgesia and dose of lidocaine. Anesthesiology 1970;33:619-26.
15. Arndt JO, Höck A, Stanton-Hicks M, Stühmeier KD: Peridural anesthesia and the distribution of blood in supine humans. Anesthesiology 1985;63:616-23.
16. Stern DH, Gerson JI, Allen FB, Parker FB: Can we trust the direct radial artery pressure immediately following cardiopulmonary bypass? Anesthesiology 1985;62:557-61.
17. Pauca AL, Meredith JW: Possibility of A-V shunting upon cardiopulmonary bypass discontinuation. Anesthesiology 1987;67:91-4.
18. Mohr R, Lavee J, Good DA: Inaccuracy of radial artery pressure measurement after cardiac operations. J Thorac Cardiovasc Surg 1987;94:286-90.
19. Pauca AL, Hudspeth AS, Wallenhaupt SL, et al: Radial artery-to-aorta pressure difference after discontinuation of cardiopulmonary bypass. Anesthesiology 1989;70:935-41.
20. Yoshikawa G, Agune T, Takasaki M: How are haemodynamic and metabolic responses to haemorrhage influenced by segmental thoracic and thoracolumbar epidural analgesia? An experimental study in dogs. Acta Anesthesiol Scand 1995;39:179-85.