TRANSITORY HYPERTENSION DURING SPINAL ANESTHESIA: REPORT OF A CASE

Autor: Heller, Edward P., Hungate, Carroll P.
Zdroj: JAMA: Journal of the American Medical Association; December 1931, Vol. 97 Issue: 26 p1964-1964, 1p
Abstrakt: During the past few years the literature has contained numerous articles intended to encourage the use of spinal anesthesia and pointing out the safety of this procedure. Excluding the conditions in which this type of anesthesia is contraindicated, e. g., intestinal perforation, shock and conditions contraindicating the Trendelenburg position, it has been amply shown that the morbidity and mortality are increased through rapid fall in vascular tension not properly controlled by the use of epinephrine or ephedrine.The literature stresses the complete relaxation that usually occurs in surgery below the diaphragm following the administration of spinal anesthesia. With this type of anesthesia there is usually an absence of intestinal distention during the operation and during the postoperative period. The latter is usually marked by normal peristalsis, a soft abdomen and the absence of pain associated with distention, which is so common following ether anesthesia. In our work we have found
Databáze: Supplemental Index