July 1, 1976Archives of Surgery

Left Ventricular Function During Aortic Surgery

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Population

14 patients undergoing surgery for aneurysm or occlusive disease of the abdominal aorta.

Design

Case_series

Authors

RCRobert M. CarrollWilmington VA Medical Center

Discussion

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Implication

Hemodynamic surges may precipitate ischemia in aortic surgery; case reports leave open whether agents like propranolol improve outcomes.

Structured PICO

Population

14 patients undergoing surgery for aneurysm or occlusive disease of the abdominal aorta (13 with history of hypertension or myocardial infarction, 2 with chronic obstructive pulmonary disease).

Intervention

Observation of hemodynamic responses during laryngoscopy, intubation, and aortic cross-clamping; treatment of myocardial ischemia with propranolol hydrochloride and sodium nitroprusside.

Outcome

Hemodynamic changes (tachycardia, hypertension, elevated pulmonary artery occluded pressure) and electrocardiographic evidence of myocardial ischemia.surrogate

Hemodynamic stress during abdominal aortic surgery can precipitate myocardial ischemia, highlighting the importance of perioperative monitoring and management with agents like propranolol and sodium nitroprusside.

Cite This Study

Robert M. Carroll (1976) studied this question.

synapsesocial.com/papers/6a8232ec1fb4be735b3f0fc7 https://doi.org/10.1001/archsurg.1976.01360250016002

Topics

Hypertension management

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Left Ventricular Function During Aortic Surgery

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Left Ventricular Function During Aortic Surgery

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider