Hypotension in anaesthetized patients during aneurysm clipping: Not as bad as expected?

Acta Anaesthesiologica Scandinavica

Volumn 52, Issue 7, 2008, Pages 1006-1011

  Hoff, R G ^a,b   Van Dijk, G W ^b,c   Mettes, S ^b   Verweij, B H ^b   Algra, A ^a,b   Rinkel, G J E ^b   Kalkman, C J ^b  

^a UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^b UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^c CANISIUS WILHELMINA HOSPITAL   (Netherlands)

Author keywords

Brain ischaemia; Hypotension; Intracranial aneurysm; Subarachnoid haemorrhage

Indexed keywords

ADULT; AGED; ANESTHESIA; ARTICLE; DISEASE SEVERITY; FEMALE; HUMAN; HYPOTENSION; INCIDENCE; INTRACRANIAL ANEURYSM; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; SUBARACHNOID HEMORRHAGE;

ANESTHESIA; ANESTHETICS, INTRAVENOUS; ANESTHETICS, LOCAL; ATRACURIUM; COHORT STUDIES; ETOMIDATE; FEMALE; HUMANS; HYPOTENSION; INTRACRANIAL ANEURYSM; INTRAOPERATIVE COMPLICATIONS; LIDOCAINE; MALE; MIDDLE AGED; NETHERLANDS; NEUROMUSCULAR NONDEPOLARIZING AGENTS; ODDS RATIO; PROPOFOL; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; SUBARACHNOID HEMORRHAGE; SUFENTANIL;

EID: 46749134782     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/j.1399-6576.2008.01682.x     Document Type: Article

References (18)

1. Rabinstein AA, Friedman JA, Weigand SD et al. Predictors of cerebral infarction in aneurysmal subarachnoid hemorrhage. Stroke 2004 35 : 1862 6.
2. Van Gijn J, Kerr RS, Rinkel GJ. Subarachnoid haemorrhage. Lancet 2007 369 : 306 18.
3. Jaeger M, Schuhmann MU, Soehle M et al. Continuous monitoring of cerebrovascular autoregulation after subarachnoid hemorrhage by brain tissue oxygen pressure reactivity and its relation to delayed cerebral infarction. Stroke 2007 38 : 981 6.
4. Chang HS, Hongo K, Nakagawa H. Adverse effects of limited hypotensive anesthesia on the outcome of patients with subarachnoid hemorrhage. J Neurosurg 2000 92 : 971 5.
5. Drummond JC. Deliberate hypotension for intracranial aneurysm surgery: changing practices. Can J Anaesth 1991 38 : 935 6.
6. Priebe HJ. Aneurysmal subarachnoid haemorrhage and the anaesthesist. Br J Anaesth 2007 99 : 102 118.
7. Drake CG. Report of World Federation of Neurological Surgeons Committee on a universal subarachnoid hemorrhage grading scale. J Neurosurg 1988 68 : 985 6.
8. Van Gijn J, Bromberg JE, Lindsay KW et al. Definition of initial grading, specific events, and overall outcome in patients with aneurysmal subarachnoid hemorrhage. A survey. Stroke 1994 25 : 1623 7.
9. Jennett B, Bond M. Assessment of outcome after severe brain damage. Lancet 1975 1 : 480 4.
10. Todd MM, Hindman BJ, Clarke WR et al. Mild intraoperative hypothermia during surgery for intracranial aneurysm. N Engl J Med 2005 352 : 135 45.
11. Fukuda S, Warner DS. Cerebral protection. Br J Anaesth 2007 99 : 10 7.
12. Kaisti K, Langsjö JW, Aalto S et al. Effects of sevoflurane, propofol, and adjunct nitrous oxide on regional cerebral blood flow, oxygen consumption, and blood volume in humans. Anesthesiology 2003 99 : 603 13.
13. Wilson JX, Gelb AW. Free radicals, antioxidants, and neurologic injury: possible relationship to cerebral protection by anesthetics. J Neurosurg Anesthesiol 2002 14 : 66 79.
14. Adembri C, Venturi L, Tani A et al. Neuroprotective effects of propofol in models of cerebral ischemia. Anesthesiology 2006 104 : 80 9.
15. Macdonald RL, Rosengart A, Huo D et al. Factors associated with the development of vasospasm after planned surgical treatment of aneurysmal subarachnoid hemorrhage. J Neurosurg 2003 99 : 644 52.
16. Voldby B, Enevoldsen EM, Jensen FT. Cerebrovascular reactivity in patients with ruptured intracranial aneurysms. J Neurosurg 1985 62 : 59 67.
17. Brilstra EH, Rinkel GJ, Algra A et al. Rebleeding, secondary ischemia, and timing of operation in patients with subarachnoid hemorrhage. Neurology 2000 55 : 1656 60.
18. Molyneux AJ, Kerr RS, Yu LM et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 2005 366 : 809 17.