Hypotensive Epidural Anesthesia in Patients With Aortic Stenosis Undergoing Total Hip Replacement

Regional Anesthesia and Pain Medicine

Volumn 33, Issue 2, 2008, Pages 129-133

  Ho, Michael C ^a,b   Beathe, Jonathan C ^b   Sharrock, Nigel E ^a,b  

^a HOSPITAL FOR SPECIAL SURGERY   (United States)

^b WEILL CORNELL MEDICAL COLLEGE   (United States)

Author keywords

Aortic stenosis; Deliberate hypotension; Hypotensive epidural anesthesia; Total hip arthroplasty

Indexed keywords

ACETYLSALICYLIC ACID; ADRENALIN; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; BUPIVACAINE; CEFAZOLIN; DILTIAZEM; DIURETIC AGENT; FENTANYL; HYDROMORPHONE; LIDOCAINE; MIDAZOLAM; PROPOFOL; WARFARIN;

ABSENCE OF SIDE EFFECTS; ADULT; AGED; AORTA STENOSIS; AORTA VALVE; ARTERY CATHETERIZATION; ARTICLE; BLEEDING; CARDIOVASCULAR FUNCTION; CENTRAL VENOUS PRESSURE; CEREBROVASCULAR ACCIDENT; CLINICAL ARTICLE; CONFIDENCE INTERVAL; CONTINUOUS INFUSION; CONTROLLED STUDY; CREATININE BLOOD LEVEL; CRYSTALLOID; DATA BASE; DISEASE DURATION; DRUG DOSE TITRATION; DRUG FATALITY; ECG ABNORMALITY; EPIDURAL ANESTHESIA; FEMALE; HEART INFARCTION; HEART RATE; HEMODYNAMIC MONITORING; HUMAN; HYPOTENSIVE EPIDURAL ANESTHESIA; INDUCED HYPOTENSION; KIDNEY DYSFUNCTION; KIDNEY FUNCTION; LUNG EMBOLISM; MALE; MEDICAL RECORD REVIEW; OUTCOME ASSESSMENT; PATIENT CONTROLLED ANALGESIA; PATIENT MONITORING; PEROPERATIVE CARE; POSTOPERATIVE PAIN; PRIORITY JOURNAL; RADIAL ARTERY; SIDE EFFECT; SUPRAVENTRICULAR TACHYCARDIA; SYSTOLIC BLOOD PRESSURE; THROMBOEMBOLISM; TOTAL HIP PROSTHESIS; TRANSFUSION;

AGED; ANESTHESIA, EPIDURAL; AORTIC VALVE STENOSIS; ARTHROPLASTY, REPLACEMENT, HIP; FEMALE; HUMANS; HYPOTENSION, CONTROLLED; JOINT DISEASES; MALE; MIDDLE AGED; PILOT PROJECTS; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 39449105127     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.rapm.2007.09.008     Document Type: Article

References (20)

1. Kertai M.D., Bountioukos M., Boersma E., Bax J.J., Thomson I.R., Sozzi F., Klein J., Roelandt J.R., and Poldermans D. Aortic stenosis: an underestimated risk factor for perioperative complications in patients undergoing noncardiac surgery. Am J Med 116 (2004) 8-13
2. McDonald S.B. Is neuraxial blockade contraindicated in the patient with aortic stenosis?. Reg Anesth Pain Med 29 (2004) 496-502
3. Sharrock N.E., Mineo R., and Urquhart B. Hemodynamic response to low-dose epinephrine infusion during hypotensive epidural anesthesia for total hip replacement. Reg Anesth 15 (1990) 295-299
4. Sharrock N.E., Mineo R., and Go G. The effect of cardiac output on intraoperative blood loss during total hip arthroplasty. Reg Anesth 18 (1993) 24-29
5. Bading B., Blank S., Sculco T.P., Pickering T.G., and Sharrock N.E. Augmentation of calf blood flow by epinephrine infusion during lumbar epidural anesthesia. Anesth Analg 78 (1994) 1119-1124
6. Khot U.N., Novaro G.M., Popovic Z.B., Mills R.M., Thomas J.D., Tuzcu E.M., Hammer D., Nissen S.E., and Francis G.S. Nitroprusside in critically ill patients with left ventricular dysfunction and aortic stenosis. N Engl J Med 348 (2003) 1756-1763
7. Sharrock N.E., and Salvati E.A. Hypotensive epidural anesthesia for total hip arthroplasty. Acta Orthop Scand 67 (1996) 91-107
8. Sharrock N.E., Cazan M.G., Hargett M.J., Williams-Russo P., and Wilson P.D. Changes in mortality after total hip and knee arthroplasty over a ten-year period. Anesth Analg 80 (1995) 242-248
9. Sharrock N.E., Mineo R., Urquhart B., and Salvati E.A. The effect of two levels of hypotension on intraoperative blood loss during total hip arthroplasty. Anesth Analg 76 (1993) 580-584
10. Ranawat C.S., Beaver W.B., Sharrock N.E., Maynard M.J., Urquhart B., and Schneider R. Effect of hypotensive epidural anaesthesia on acetabular cement-bone fixation in total hip arthroplasty. J Bone Joint Surg Br 73 (1991) 779-782
11. Liguori G.A., and Sharrock N.E. Asystole and severe bradycardia during epidural anesthesia in orthopedic patients. Anesthesiology 86 (1997) 250-257
12. Heidegger T., and Kreienbuhl G. Unsuccessful resuscitation under hypotensive epidural anesthesia during elective hip arthroplasty. Anesth Analg 86 (1998) 846-849
13. Bundgaard-Nielsen M., Foss N.B., and Kristensen B.B. Use of epidural blockade in a patient with hip fracture and aortic stenosis. Eur J Anaesthesiol 22 (2005) 471-472
14. Fuzier R., Murat O., Gilbert M.L., Magues J.P., and Fourcade O. Continuous spinal anesthesia for femoral fracture in two patients with severe aortic stenosis. [in French]. Ann Fr Anesth Reanim 25 (2006) 528-531
15. Xia V.W., Messerlian A.K., Mackley J., Calmes S.H., and Matevosian R. Successful epidural anesthesia for cesarean section in a parturient with severe aortic stenosis and a recent history of pulmonary edema-a case report. J Clin Anesth 18 (2006) 142-144
16. Tenenbein P., Maguire D., Debrouwere R., Duke P., and Kowalski S. High spinal anesthesia for patients with critical aortic stenosis. Can J Anaesth 51 (2004) A49
17. Goertz A.W., Seeling W., Heinrich H., Lindner K.H., and Schirmer U. Influence of high thoracic epidural anesthesia on left ventricular contractility assessed using the end-systolic pressure-length relationship. Acta Anaesthesiol Scand 37 (1993) 38-44
18. Hackel D.B., Sancetta S.M., and Kleinerman J. Effect of hypotension due to spinal anesthesia on coronary blood flow and myocardial metabolism in man. Circulation 13 (1956) 92-97
19. Blomberg S., Emanuelsson H., Kvist H., Lamm C., Pontén J., Waagstein F., and Rickstein S.-E. Effects of thoracic epidural anesthesia on coronary arteries and arterioles in patients with coronary artery disease. Anesthesiology 73 (1990) 840-847
20. Nygard E., Kofoed K.F., Freiberg J., Holm S., Aldershvile J., Eliasen K., and Kelbaek H. Effects of high thoracic epidural analgesia on myocardial blood flow in patients with ischemic heart disease. Circulation 111 (2005) 2165-2170