Document Detail


Alterations in cardiovascular function during neurolept anesthesia for surgery on the coronary vessels.
MedLine Citation:
PMID:  308937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Induction of anesthesia for aortocoronary bypass surgery was accomplished by the administration of droperidol, morphine, oxygen and nitrous oxide-oxygen in 20 patients. They ranged from 40 to 69 years of age. Premedication consisted of diphenhydramine and morphine. Cardiovascular stability was the most important aspect of the technique. Heart rate changes were insignificant. Cardiac index increased substantially after droperiodol and remained unchanged after morphine. It stayed around control levels for the rest of the induction. A substantial decrease was observed while using mechanical ventilation. Mean arterial pressure dropped significantly after droperidol and again after morphine, then rose about 17% after oxygen to near control levels, where it stayed thereafter. Peripheral vascular resistance dropped substantially after droperidol. A significant increase occurred after oxygen, reaching almost control levels at this point. Mechanical ventilation caused a significant increase, similar to the decrease in the cardiac index. Decreased oxygen availability was compensated for by decreased oxygen consumption. Induction of neurolept anesthesia in the manner described appears to be void of the undesirable effects of either large doses of morphine, or nitrous oxide-oxygen following such morphine doses. Amnesia was complete in every patient.
Authors:
P A Radnay; D B Rao; H Yun; D Duncalf
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  63     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1978 May-Jun
Date Detail:
Created Date:  1978-12-20     Completed Date:  1978-12-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  29-34     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure
Coronary Artery Bypass*
Droperidol / administration & dosage
Female
Heart Rate
Hemodynamics*
Humans
Male
Middle Aged
Morphine / administration & dosage
Neuroleptanalgesia*
Nitrous Oxide / administration & dosage
Oxygen Consumption
Chemical
Reg. No./Substance:
10024-97-2/Nitrous Oxide; 548-73-2/Droperidol; 57-27-2/Morphine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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