Spinal anesthesia reduces oxygen consumption in diabetic patients prior to peripheral vascular surgery

Regional Anesthesia

Volumn 22, Issue 1, 1997, Pages 53-58

  Stanley, G D ^a   Pierce, E T ^a   Moore, W J ^a   Lewis, K P ^a   Bode, R H ^a  

^a BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

diabetes; oxygen consumption; oxygen extraction; peripheral vascular surgery; spinal anesthesia; tetracaine

Indexed keywords

TETRACAINE;

ADULT; AGED; ARTICLE; BLOOD VESSEL TONE; CLINICAL ARTICLE; DERMATOME; DIABETES MELLITUS; FEMALE; HEART OUTPUT; HIGH RISK POPULATION; HUMAN; MALE; NERVE BLOCK; OXYGEN CONSUMPTION; OXYGEN TRANSPORT; PERIPHERAL VASCULAR DISEASE; PRIORITY JOURNAL; SPINAL ANESTHESIA;

EID: 0031020190     PISSN: 0146521X     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1098-7339(06)80056-8     Document Type: Article

References (21)

1. 2 induced by fentanyl and thiopentone during balanced anesthesia. Can J Anaesth 1978: 25: 18-21.
2. Waxman K, Lazrove S, Shoemaker WC. Physiologic responses to operation in high risk surgical patients. Surg Gynecol Obstet 1981: 152: 633-638.
3. Waxman K, Volan LS, Shoemaker WC. Sequential perioperative lactate determination. Physiological and clinical implications. Crit Care Med 1982: 10: 96-99.
4. Lynn RB, Sancetta SM, Simeone FA, Scott RW. Observations on the circulation in high spinal anesthesia. Surgery 1952: 32: 195-210.
5. Paskin S, Rodman T, Smith TC. The effect of spinal anesthesia on the pulmonary function of patients with chronic obstructive pulmonary disease. Ann Surg 1960: 169: 35-41.
6. Egbert LD, Tamersoy K, Deas TC. Pulmonary function during spinal anesthesia: The mechanism of cough suppression. Anesthesiology 1961: 22: 882-885.
7. Pugh LGC, Wyndham CL. The circulatory effects of high spinal anesthesia in hypertensive and control patients. Clin Sci 1950: 9: 189.
8. Eagle KA, Singer DE, Brewster DC, Darling RC, Mulley AG, Boucher CA. Dipyridamole-thallium scanning in patients undergoing vascular surgery. JAMA 1987: 257: 2185-2189.
9. Hollenberg M, Mangano DT, Browner WS, London MJ, Tubau JF, Tateo IM. Predictors of postoperative myocardial ischemia in patients undergoing noncardiac surgery. JAMA 1992: 268: 205-209.
10. Bode RH, Lewis KP, Zarich SW, Pierce ET, Roberts M, Kowalchuk GJ, Satwicz PR, Gibbons GW, Hunter JA, Espanola CC, Nesto RW. Cardiac out-come after peripheral vascular surgery: Comparison of general and regional anesthesia. Anesthesiology 1996: 84: 3-13.
11. Davison KJ, Eckhardt WF, Perese DA. Clinical anesthesia procedures of the Massachusetts General Hospital. 4th ed. Boston, Little, Brown, 1993: 558-559.
12. Meyer RM, McCune WJ. Assessing the level of spinal anesthesia using a neuromuscular stimulator. Anesthesiology 1987: 67: 125-127.
13. Sancetta SM, Lynn RB, Simeone FA, Heckman G, Janouskovec H. Studies of hemodynamic changes in humans following the induction of spinal anesthesia. IV. Observations in low spinal anesthesia during surgery. Surg Gynecol Obstet 1953: 97: 597-602.
14. 2 changes with enflurane, isoflurane and halothane. Br J Anaesth 1975: 47: 813-817.
15. Shepherd AP, Mailman D, Burks TF, Granger HJ. Effects of norepinephrine and sympathetic stimulation on extraction of oxygen and 86Rb in perfused canine small bowel. Circ Res 1973: 33: 166-174.
16. Shepherd AP, Riedel GL, Maxwell LC, Kiel JW. Selective vasodilators redistribute intestinal blood flow and depress oxygen uptake. Am J Physiol 1984: 247: G377-G384.
17. Chamberlain DP, Chamberlain BDL. Changes in skin temperature of the trunk and their relationship to sympathetic blockade during spinal anesthesia. Anesthesiology 1986: 65: 139.
18. Hanique G, Dugernier T, Laterre PF, Dougnac A, Roeseler J, Reynaert MS. Significance of pathologic oxygen supply dependency in critically ill patients: Comparison between measured and calculated methods. Intensive Care Med 1994: 20: 12-18.
19. Hanique G, Dugernier T, Laterre PF, Dougnac A, Roeseler J, Reynaert MS. Evaluation of oxygen uptake and delivery in critically ill patients: A sta-tistical reappraisal. Intensive Care Med 1994: 20: 19-26.
20. Ewing DJ, Campbell IW, Clarke BE Assessment of cardiovascular effects in diabetic autonomic neuropathy and prognostic implications. Ann Intern Med 1980: 92: 308-311.
21. Kahn JK, Zola B, Juni JE, Vinik AI. Radionuclide assessment of left ventricular diastolic filling in diabetes mellitus with and without cardiac autonomic neuropathy. J Am Coll Cardiol 1986: 7: 1303-1309.