Korean J Anesthesiol.
1998 Nov;35(5):999-1002. 10.4097/kjae.1998.35.5.999.
Hypobaric Spinal Anesthesia in a Patient with Transplanted Heart: A case report
- KMID: 2240117
- DOI: http://doi.org/10.4097/kjae.1998.35.5.999
Abstract
- Heart transplantation is an accepted procedure for treatment of end-staged cardiac failure. A return to near-normal quality on life can be expected in many patients with a nonrejecting cardiac allograft, and many of these patients will return to the operating room for noncardiac surgical procedures. Anesthesiologists should be alert to recognizing problems caused by the presence of infection in immunosuppressed patients, modes of presentation of rejection phenomena and how transplanted organs, notably significantly denervated ones, may behave and respond under the pathophysiologic circumstance that arise during surgery, resuscitation and intensive care. The use of regional techniques require adequate preloading to avoid exaggerated hypotension and aseptic technique to avoid infection. Hypobaric spinal anesthesia has some benefit. It does not depress cardiovascular and respiratory system and keep adequate venous return by trendelenberg position. We report herein a case of successfully undergone total hip replacement in a patient who had previously undergone orthotopic heart transplantation under hypobaric spinal anesthesia.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Effect of Volume on Hypobaric Spinal Anesthesia for Perianal Surgery with Prone Jacknife Position
- Comparison between isobaric and hypobaric spinal anesthesia with tetracaine for lumbar laminectomy in prone position
- The Effect of the Injected Volume on the Spread of Spinal Anesthesia with Hypobaric Tetracaine
- Effect of Injection Speed on the Anesthetic Level and Duration of Hypobaric Spinal Anesthesia with 0.1% Tetracaine in Jack-Knife Position at 15o Head-down Tilting
- The hypobaric spinal anesthesia for total hip-replacement arthroplasty
