Initial Experience with IV Ketamine Infusion for Treatment of Post Sternotomy Pain in a Patient with a Total Artificial Heart
| Autor: | Charles Louy, Rusty Loyferman, Dermot P. Maher, Roya Yumul |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Cardiac output Postoperative pain Blood Pressure Vasodilation Heart Artificial law.invention Cardiac dysfunction Prosthesis Implantation law Artificial heart Humans Medicine Ketamine Infusions Intravenous Pain Measurement Anesthetics Dissociative Pain Postoperative business.industry Sternotomy Anesthesiology and Pain Medicine Blood pressure Anesthesia Sympathetic outflow business medicine.drug |
| Zdroj: | May 2015. :E425-E427 |
| ISSN: | 2150-1149 1533-3159 |
| DOI: | 10.36076/ppj.2015/18/e425 |
| Popis: | The implantation of total artificial hearts (TAHs) via midline sternotomy for the treatment of severe biventricular cardiac dysfunction is associated with complex postoperative pain management. Ketamaine increases blood pressure by raising sympathetic outflow and cardiac ouput; however, ketamine is a direct vasodilator on isolated arterial tissues. In the setting of a TAH with a mechanically fixed cardiac output, a ketamine infusion for postoperative pain control has the potential to decrease blood pressure due to direct arterial vasodilation. We present the initial experience with a ketamine infusion in a patient with a TAH with minimal observed decreases in blood pressure and significantly improved postoperative pain. Key words: Ketamine, postoperative pain, poststernotomy pain, total artificial heart, mechanical circulation, hypotension, vasodilation |
| Databáze: | OpenAIRE |
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