| Target-controlled intravenous anaesthesia with bispectral index monitoring for thoracotomy in a patient with severely impaired left ventricular function. | |
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MedLine Citation:
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PMID: 10853218 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The anaesthetic management of an elderly patient with severely impaired left ventricular function undergoing thoracotomy and lobectomy is described. Total intravenous anaesthesia (TIVA) with remifentanil and target-controlled infusion of propofol titrated according to the bispectral index (BIS) was used, with thoracic epidural anaesthesia commenced at the end of surgery providing postoperative analgesia. Avoidance of intraoperative epidural local anaesthetics and careful titration and dose reduction of propofol using the BIS was associated with excellent haemodynamic stability. The rapid offset of action of remifentanil and low-dose propofol facilitated early recovery and tracheal extubation. The BIS was a valuable monitor in optimal titration of TIVA. |
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Authors:
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I E Leonard; P S Myles |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 28 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2000 Jun |
Date Detail:
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Created Date: 2000-10-06 Completed Date: 2000-10-06 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 318-21 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Pain Management, Alfred Hospital, Melbourne, Victoria. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Analgesia, Epidural Anesthesia Recovery Period Anesthesia, Intravenous / methods* Anesthetics, Intravenous / administration & dosage Carcinoma, Squamous Cell / surgery Cardiomyopathy, Dilated / physiopathology Electroencephalography* Hemodynamics / drug effects Humans Infusions, Intravenous Intubation, Intratracheal Lung Neoplasms / surgery Male Monitoring, Intraoperative / methods* Piperidines / administration & dosage Pneumonectomy* Propofol / administration & dosage Signal Processing, Computer-Assisted* Thoracotomy* Titrimetry Ventricular Dysfunction, Left / physiopathology* |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Intravenous; 0/Piperidines; 132875-61-7/remifentanil; 2078-54-8/Propofol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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