The review highlights the restricted utility of induced hypotension in neurosurgery and emphasizes the need for adequate facilities and surgeon-anaesthetist liaison.
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Supports restricted use of induced hypotension in neurosurgery; leaves open superiority of trimetaphan camphor-sulphonate without contemporary trials.
Summary The development of induced hypotension is discussed and its hazards briefly outlined. The superiority of trimetaphan camphor‐sulphonate (Arfonad) for hypotensive purposes is stressed. The restricted utility of induced hypotension in neurosurgery, and the value of simpler alternatives for the control of bleeding, are indicated. The necessity for adequate facilities and assistance, as well as for complete liaison between surgeon and anaesthetist in the conduct induced hypotension, is emphasized.
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S. V. Marshall (1958) studied this question.
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