Document Detail


Anesthetic consideration for descending thoracic aortic aneurysm repair.
MedLine Citation:
PMID:  17711972     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Anesthesia for surgery of the aorta poses some of the most difficult challenges for anesthesiologists. Major hemodynamic and physiologic stresses and sophisticated techniques of extracorporeal support are superimposed on patients with complex medical disease states. In this review, etiologies, natural history, and surgical techniques of thoracic aortic aneurysm are presented. Anesthetic considerations are discussed in detail, including the management of distal perfusion using partial cardiopulmonary bypass. Considerations of spinal cord protection, including management of proximal hypertension, cerebral spinal fluid drainage, and pharmacological therapies, are presented.
Authors:
Ronald A Kahn; Marc E Stone; David M Moskowitz
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in cardiothoracic and vascular anesthesia     Volume:  11     ISSN:  1089-2532     ISO Abbreviation:  Semin Cardiothorac Vasc Anesth     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-22     Completed Date:  2007-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9807630     Medline TA:  Semin Cardiothorac Vasc Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  205-23     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, the Mount Sinai School of Medicine, New York, New York 10029-6547, USA. ron.kahn@mssm.edu
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MeSH Terms
Descriptor/Qualifier:
Anesthesia*
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / etiology,  surgery*
Blood Pressure / physiology
Cardiac Surgical Procedures*
Cerebrospinal Fluid Pressure / physiology
Constriction
Heart Rate / physiology
Humans
Kidney Diseases / prevention & control
Mannitol / therapeutic use
Preoperative Care
Spinal Cord / blood supply
Spinal Cord Diseases / prevention & control
Steroids / therapeutic use
Chemical
Reg. No./Substance:
0/Steroids; 69-65-8/Mannitol

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


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