Splanchnic perfusion during controlled hypotension with haemodilution under isoflurane anaesthesia in elderly patients

European Journal of Anaesthesiology

Volumn 16, Issue 8, 1999, Pages 519-525

  Fukusaki, M ^a   Nakamura, T ^a   Hara, T ^a   Fukushima, H ^c   Hasuo, H ^b   Sumikawa, K ^b  

^a NAGASAKI ROSAI HOSPITAL   (Japan)

^b NAGASAKI UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^c NONE

Author keywords

Age: elderly patients; Anaesthetc techniques: hypotension, controlled; Oxygen: splanchnic tissue; Therapeutic: haemodilution

Indexed keywords

HETASTARCH; ISOFLURANE; LACTIC ACID; PROSTAGLANDIN E1;

ADULT; AGED; ARTERIAL PH; ARTICLE; CLINICAL ARTICLE; FEMALE; GERIATRIC PATIENT; HEMATOCRIT; HEMODILUTION; HIP SURGERY; HUMAN; HYPOTENSION; LACTATE BLOOD LEVEL; MALE; MEAN ARTERIAL PRESSURE; SPLANCHNIC BLOOD FLOW; STOMACH PH; TIME; TONOMETRY;

ADULT; AGED; ANESTHESIA, INHALATION; ANESTHETICS, INHALATION; BLOOD GAS ANALYSIS; FEMALE; GASTRIC ACIDITY DETERMINATION; HEMODILUTION; HEMODYNAMIC PROCESSES; HUMANS; HYPOTENSION, CONTROLLED; ISOFLURANE; LACTIC ACID; MALE; MIDDLE AGED; SPLANCHNIC CIRCULATION;

EID: 0032835446     PISSN: 02650215     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2346.1999.00531.x     Document Type: Article

References (24)

1. Rosberg B, Wulff K. Hemodynamics following normovolemic hemodilution in elderly patients. Acta Anaesthesiol Scand 1981; 25: 402-406.
2. Vara-Thorbeck R, Marcote JAGF. Hemodynamic responses of elderly patients undergoing major surgery under moderate normovolemic hemodilution. Eur Surg Res 1985; 17: 372-376.
3. Spahn DR, Zollinger A, Schlumpf RB et al. Hemodilution tolerance in elderly patients without known cardiac disease. Anesth Analg 1996; 82: 681-686.
4. Thompson GE, Miller RD, Stevens WC, Murray WR. Hypotensive anesthesia for total hip arthroplasty: a study of blood loss and organ function (brain, heart, liver, and kidney). Anesthesiology 1978; 48: 91-96.
5. Wood M, Hyman S, Wood AJJ. A clinical study of sensitivity to sodium nitroprusside during controlled hypotensive anesthesia in young and elderly patients. Anesth Analg 1987; 66: 132-136.
6. Wilkerson DK, Rosen AL, Sehgal LR, Gould SA, Sehgal HL, Moss GS. Limits of cardiac compensation in anemic baboons. Surgery 1988; 103: 665-670.
7. Laks J, Pilon P, Klovekorn WP, Anderson W, MacCallum JR, O'Connor NE. Acute hemodilution: its effect on hemodynamics and oxygen transport in anesthetized man. Ann Surg 1974; 180: 103-109.
8. Van Der Linden P, Wathieu M et al. Cardiovascular effects of moderate normovolaemic haemodilution during enflurane-nitrous oxide anaesthesia in man. Acta Anaesthesiol Scand 1994; 38: 490-498.
9. Fukusaki M, Matsumoto M, Yamaguchi K, Ogata K, Ide R, Sumikawa K. Effects of hemodilution during controlled hypotension on hepatic, renal, and pancreatic function in humans. J Clin Anesth 1996; 8: 545-550.
10. Hur SR, Huizenga BA, Major M. Acute normovolemic hemodilution combined with hypotensive anesthesia and other techniques to avoid homologous transfusion in spinal fusion surgery. Spine 1992; 17: 867-873.
11. Hartmman M, Montgomerry A, Jonsson K, Haglund ULF. Tissue oxygenation in haemorrhagic shock measured as transcutaneous oxygen tension, subcutaneous oxygen tension, and gastrointestinal intramucosal pH in pigs. Crit Care Med 1991; 19: 205-210.
12. Vatner SF. Effects of hemorrhage on regional blood flow distribution in dogs and primates. J Clin Invest 1974; 54: 225-235.
13. Gutierrez G, Palizas F, Doglio GR et al. Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 1992; 339 (8787): 195-199.
14. Doglio GR, Pusajo JF, Egurrola MA et al. Gastric mucosal pH as a prognostic index of mortality in critically ill patients. Crit Care Med 1991; 19: 1037-1040.
15. Fiddian-Green RG. Tonometry: theory and applications. Intensive Care World 1992; 9: 130-135.
16. Groeneveld ABJ, Kolkman JJ. Splanchnic tonometry: a review of physiology, methodology, and clinical applications. J Crit Care 1994; 9: 198-210.
17. 2 and its influence on the intramural pH in gastric mucosa. J Surg Res 1982; 33: 39-48.
18. 2. Anesth Analg 1998; 87: 134-142.
19. Wood PR, Cudworth P, Davies GE, Lawler PG. Potential hazards in estimation of gastric intramucosal pH. Lancet 1992; 340: 913-915.
20. Croughwell ND, Newman MF, Lowry E et al. Effect of temperature during cardiopulmonary bypass on gastric mucosal perfusion. Br J Anaesth 1997; 78: 34-38.
21. Steverink PJGM, Kolkman JJ, Groeneveld ABJDE, Vries JW. Catheter deadspace: a source of error during tonometry. Br J Anaesth 1998; 80: 337-341.
22. Gys T, Hubens A, Neels H, Lauwers LF, Peeters R. Prognostic value of gastric intramural pH in surgical intensive care patients. Crit Care Med 1988; 16: 1222-1224.
23. Goto F, Otani E, Kato S, Fujita T. Prostaglandin E1 as a hypotensive drug during general anesthesia. Anaesthesia 1982; 37: 530-535.
24. 2 on gastric secretion, gastrin release, and mucosal blood flow in dogs. Dig Dis Sci 1980; 25: 673-679.