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J Clin Anesth ; 8(5): 386-91, 1996 Aug.
Article in English | MEDLINE | ID: mdl-8832450

ABSTRACT

We present a case in which an anemic patient with religious objections to blood transfusion experienced three episodes of severe myocardial ischemia during the perioperative period. The first episode of ischemia was successfully treated by discontinuing isoflurane and resolving the hypotension. The second and third episodes were successfully treated by heart rate control with esmolol and neostigmine.


Subject(s)
Anemia/complications , Christianity , Intraoperative Complications , Myocardial Ischemia/therapy , Religion and Medicine , Adrenergic beta-Antagonists/therapeutic use , Anesthetics, Inhalation/administration & dosage , Cholinesterase Inhibitors/therapeutic use , Femoral Fractures/surgery , Fracture Fixation, Internal , Heart Rate/drug effects , Hip Fractures/surgery , Humans , Isoflurane/administration & dosage , Male , Middle Aged , Myocardial Ischemia/drug therapy , Myocardial Ischemia/etiology , Neostigmine/therapeutic use , Propanolamines/therapeutic use
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