Intra-operative refractory hypotension in patient chronically treated with renin-angiotensin system antagonists: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 363-366, 2008.
Article
Dans Coréen
| WPRIM
| ID: wpr-58973
ABSTRACT
Chronic treatment with renin-angiotensin system antagonists frequently causes deleterious hypotension during anesthesia. We present a case of marked intra-operative refractory hypotension in a 61-year-old male patient undergoing elective total thyroidectomy. He has been chronically treated for hypertension with angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists and atenolol, which were taken until the morning of surgery. After induction of anesthesia, marked hypotension which was refractory to fluid therapy occurred and did not respond to ephedrine administration. After continuous norepinephrine infusion, blood pressure increased and remained stable during the anesthesia period. Before extubation, norepinephrine was discontinued and recovery took place without complications. We discuss the anesthetic implication of chronic renin-angiotensin system antagonists treatment and intra-operative hemodynamic instability.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Système rénine-angiotensine
/
Aténolol
/
Thyroïdectomie
/
Pression sanguine
/
Inhibiteurs de l'enzyme de conversion de l'angiotensine
/
Norépinéphrine
/
Ophtalmoplégie
/
Maladies mitochondriales
/
Éphédrine
/
Antagonistes des récepteurs aux angiotensines
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Korean Journal of Anesthesiology
Année:
2008
Type:
Article
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