Arterial hypertension associated with the use of a tourniquet with either general or regional anaesthesia.

Abstract:

:A hypertensive patient with left cardiac enlargement developed marked hypertension under general anaesthesia, during which time a tourniquet was applied around his thigh. When the tourniquet was released, severe hypotension ensued which responded to therapy. The patient, however, died 16 h later of a myocardial infarction. Because of this incident, the anaesthetic and haemodynamic data of 699 patients who underwent limb surgery with a pneumatic tourniquet inflated for at least an hour were retrospectively examined using multivariate analysis. A 30% increase in systolic and/or diastolic arterial blood pressure occurred in 27% of the total patient material and in 67% of those who had had a general anaesthetic. There was a higher frequency of the occurrence of "tourniquet hypertension" with older age, longer operations and the operation site being the lower rather than the upper limb. Tourniquet hypertension rarely occurred in patients with spinal anaesthesia (2.7%) and brachial plexus blockade (2.5%), while those with intravenous regional anesthesia had a higher incidence (19%) of hypertension.

authors

Valli H,Rosenberg PH,Kyttä J,Nurminen M

doi

10.1111/j.1399-6576.1987.tb02566.x

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

279-83

issue

4

eissn

0001-5172

issn

1399-6576

journal_volume

31

pub_type

杂志文章
  • The hemodynamic effect of halothane in the normovolemic dog.

    abstract::With the aid of radioactive microspheres (labeled with 169Yb, 85Sr and 141Ce, respectively), the effect of halothane anesthesia on circulation was studied for 30 min and (group A) for 120 min of halothane anesthesia in thiopental-sedated dogs. Measurements were also carried out on recovery from halothane anesthesia. B...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1978.tb01284.x

    authors: Ahlgren I,Aronsen KF,Björkman I,Wetterlin S

    更新日期:1978-01-01 00:00:00

  • Active cooling in traumatic brain-injured patients: a questionable therapy?

    abstract::Hypothermia is shown to be beneficial for the outcome after a transient global brain ischaemia through its neuroprotective effect. Whether this is also the case after focal ischaemia, such as following a severe traumatic brain injury (TBI), has been investigated in numerous studies, some of which have shown a tendency...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-6576.2009.02074.x

    authors: Grände PO,Reinstrup P,Romner B

    更新日期:2009-11-01 00:00:00

  • Reducing the risk of systemic embolization during gynecologic laparoscopy--effect of volume preload.

    abstract:BACKGROUND:About 27% of the population is known to have a patent foramen ovale. It can be opened if the left atrial pressure is less than the right atrial pressure. This pressure reversal has been reported during gynecologic laparoscopic surgery. The present paper describes with help of transesophageal echocardiography...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:

    authors: Tuppurainen T,Mäkinen J,Salonen M

    更新日期:2002-01-01 00:00:00

  • Life-threatening upper airway obstruction in a child caused by retropharyngeal emphysema.

    abstract::A 2 1/2-year-old boy with acute obstructive lung disease from adenovirus infection developed cough-induced paroxysms of intense dyspnoea leading to respiratory failure. Chest x-ray and fluoroscopy demonstrated retropharyngeal air occluding the airway. The clinical management of this and similar air-leak problems is di...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.045003393.x

    authors: Skogvoll E,Grammeltvedt AT,Aadahl P,Mostad U,Slørdahl S

    更新日期:2001-03-01 00:00:00

  • Patient-controlled versus nurse-controlled pain treatment after coronary artery bypass surgery.

    abstract:BACKGROUND:Pain after coronary artery bypass surgery persists for several days. A continuous intravenous infusion of an opioid adequately accomplishes good pain control in the intensive care unit, but it is often not suitable on the ordinary ward. Patient-controlled analgesia (PCA) with intermittent injections delivere...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2000.440108.x

    authors: Pettersson PH,Lindskog EA,Owall A

    更新日期:2000-01-01 00:00:00

  • Routine preoperative gastric emptying is seldom indicated. A study of 85,594 anaesthetics with special focus on aspiration pneumonia.

    abstract:BACKGROUND:The aim of this study was to determine the incidence and severity of pulmonary aspiration of gastric contents during anaesthesia, to determine the short- and long-term morbidity, and to evaluate present routines for preoperative gastric emptying. During the study period, preoperative gastric emptying was don...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1996.tb05548.x

    authors: Mellin-Olsen J,Fasting S,Gisvold SE

    更新日期:1996-11-01 00:00:00

  • Cardiovascular effects of pregnanolone emulsion: an experimental study in artificially ventilated dogs.

    abstract::The acute cardiovascular effects of pregnanolone emulsion, a new steroid preparation for intravenous anaesthesia, were investigated in artificially ventilated dogs. The anaesthetic was administered as repeated intravenous bolus injections, doubling the dosage with each injection. The plasma concentration of pregnanolo...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1991.tb03370.x

    authors: Høgskilde S,Wagner J,Strøm J,Sjøntoft E,Olesen HP,Bredgaard Sørensen M

    更新日期:1991-10-01 00:00:00

  • Differential effects of epidural morphine in the treatment of cancer-related pain.

    abstract::Fifty-five patients with pain associated with cancer were selected for long-term treatment with epidural morphine. Patients who had more than one type of pain within the same region were specially analysed concerning differential analgesic effects of the treatment, i.e. the patients served as their own control. Twenty...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1985.tb02155.x

    authors: Arnér S,Arnér B

    更新日期:1985-01-01 00:00:00

  • Impact of gender on treatment and outcome of ICU patients.

    abstract:BACKGROUND:Gender modifies immunologic responses caused by severe trauma or critical illness. The aim of this study was to investigate the impact of gender on hospital mortality, length of intensive care unit (ICU) stay, and intensity of care of patients treated in ICUs. METHODS:Data on 24,341 ICU patients were collec...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2005.00759.x

    authors: Reinikainen M,Niskanen M,Uusaro A,Ruokonen E

    更新日期:2005-08-01 00:00:00

  • Urgent reversal of vitamin K antagonist therapy.

    abstract::In the developed world, an increasing number of patients receive therapy with vitamin K antagonists (VKA). This group of patients poses an additional challenge in the perioperative management of emergency surgery and trauma. The present review offers a detailed description of some treatment options for reversal of VKA...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-6576.2011.02414.x

    authors: Vang ML,Hvas AM,Ravn HB

    更新日期:2011-05-01 00:00:00

  • Depth of a central venous catheter tip: length of insertion guideline for pediatric patients.

    abstract:BACKGROUND:In pediatric patients, several studies have been undertaken to establish central venous catheter (CVC) tip optimal depth. Assessments of catheter tip position using chest radiographs may be misleading, whereas transesophageal echocardiography (TEE) has been shown to accurately monitor catheter tip placement ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.00951.x

    authors: Yoon SZ,Shin TJ,Kim HS,Lee J,Kim CS,Kim SD,Park CD

    更新日期:2006-03-01 00:00:00

  • Serum cholinesterase activity in burned patients. II: anaesthesia, suxamethonium and hyperkalaemia.

    abstract::The importance of serum cholinesterase activity in burned patients was evaluated in relation to anaesthesia. Anaesthesia included a repeated administration of suxamethonium. Thirty-two patients with an estimated area of burn between 3 and 72% were studied during 39 anaesthetic procedures. A statistically significant i...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1975.tb05237.x

    authors: Viby-Mogensen J,Hanel HK,Hansen E,Graae J

    更新日期:1975-01-01 00:00:00

  • Controlled ventilation using the Lack circuit with an injector device.

    abstract::A Lack breathing system with an injector device has been used for controlled ventilation. Oxygen was delivered through an injector device, which was positioned between the Lack circuit and the catheter mount, whilst nitrous oxide was delivered from the anaesthetic machine. The circuit was fully tested on two model lun...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02087.x

    authors: Hopkinson ND,Harrison MJ

    更新日期:1984-08-01 00:00:00

  • Effects of halothane and isoflurane on antigen- and leukotriene-D4-induced constriction of guinea pig trachea.

    abstract::We investigated the mechanism of the action of volatile anesthetics on the airway smooth muscle constricted by an antigen and leukotriene-D4 (LTD4). Excised tracheal rings from ovalbumin-sensitized guinea pigs were suspended in eight tissue baths. Halothane or isoflurane was aerated into four tissue baths, while the r...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1995.tb04240.x

    authors: Tudoric N,Coon RL,Kampine JP,Bosnjak ZJ

    更新日期:1995-11-01 00:00:00

  • Decreases in myocardial glucose and increases in pyruvate but not ischaemia are observed during porcine endotoxaemia.

    abstract:BACKGROUND:Myocardial dysfunction occurs commonly in septic shock. It is not known whether this is due to local ischaemia and metabolic disturbances. Our hypothesis was that endotoxaemic myocardial dysfunction may be associated with interstitial ischaemic and metabolic changes, measured using interstitial microdialysis...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2008.01603.x

    authors: Chew MS,Johansson A,Anderson C,Ersson A,Tønnesen E

    更新日期:2008-08-01 00:00:00

  • Improved long-lasting postoperative analgesia, recovery function and patient satisfaction after inguinal hernia repair with inguinal field block compared with general anesthesia.

    abstract:BACKGROUND:Inguinal hernia repair is a common surgical procedure, and different types of anesthetic techniques are in use. We wanted to test if preoperative inguinal field block (IFB) with ropivacaine would provide benefits in the postoperative period compared with general anesthesia and wound infiltration. METHODS:Si...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2002.460607.x

    authors: Aasbø V,Thuen A,Raeder J

    更新日期:2002-07-01 00:00:00

  • Lumbar versus thoracic epidural buprenorphine for postoperative analgesia following coronary artery bypass graft surgery.

    abstract:BACKGROUND:Thoracic epidural analgesia (TEA) is reported to provide effective analgesia following cardiac surgery. We compared the effect of buprenorphine (BN) through the lumbar and thoracic epidural routes for postoperative analgesia following coronary artery bypass graft surgery (CABG). METHODS:Forty patients with ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.1999.430404.x

    authors: Mehta Y,Juneja R,Madhok H,Trehan N

    更新日期:1999-04-01 00:00:00

  • Mucopolysaccharidoses and anaesthetic risks.

    abstract::The purpose of this review is to asses the current knowledge of mucopolysaccharidosis (MPS), with reference to the serious complications which may arise in connection with anaesthesia and operation. MPS consists of a heterogeneous group of hereditary diseases which are characterized by an abnormal accumulation of muco...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-6576.1987.tb02553.x

    authors: Sjøgren P,Pedersen T,Steinmetz H

    更新日期:1987-04-01 00:00:00

  • Mechanism of the ropivacaine-induced increase in intracellular Ca2+ concentration in rat aortic smooth muscle.

    abstract:BACKGROUND:Ropivacaine is a long-acting local anesthetic with low cardiac toxicity that induces vasoconstriction in vitro and in vivo. Vascular smooth muscle tone is regulated by changes in both intracellular Ca(2+) concentration ([Ca(2+)](i)) and myofilament Ca(2+) sensitivity. Therefore, the aim of this study was to ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01390.x

    authors: Tokinaga Y,Ogawa K,Yu J,Kuriyama T,Minonishi T,Hatano Y

    更新日期:2007-10-01 00:00:00

  • Plasma concentrations following repeated rectal or intravenous administration of paracetamol after heart surgery.

    abstract:BACKGROUND:Paracetamol is commonly used for post-operative pain management in combination with more potent analgesics. The best route of paracetamol administration after major surgery, when oral intake may not be optimal, is not known. Our primary purpose was to study plasma concentrations after the 1st and 4th dose of...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2006.01043.x

    authors: Holmér Pettersson P,Jakobsson J,Owall A

    更新日期:2006-07-01 00:00:00

  • Tramadol in the treatment of postanesthetic shivering.

    abstract:BACKGROUND:As an inhibitor of the reuptake of serotonin and norepinephrine in the spinal cord, the mechanism of action of tramadol resembles that of nefopam, which has been used in the treatment of postanesthetic shivering. METHODS:In a randomized, placebo-controlled, double-blind study, we assessed the effects of tra...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1997.tb04732.x

    authors: de Witte J,Deloof T,de Veylder J,Housmans PR

    更新日期:1997-04-01 00:00:00

  • Regional anaesthesia for a Caesarean section in women with cardiac disease: a prospective study.

    abstract:BACKGROUND:We conducted a prospective observational survey of pregnant women with cardiac disease. The aim was to analyse and present the mode of delivery, outcome, and haemodynamic changes during a caesarean section under regional anaesthesia in women with cardiac disease. METHODS:All pregnant women with a cardiovasc...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2009.02080.x

    authors: Langesaeter E,Dragsund M,Rosseland LA

    更新日期:2010-01-01 00:00:00

  • Effects of anticoagulant treatment on intestinal ischaemia and reperfusion injury in rats.

    abstract:BACKGROUND:In recent years it has become increasingly clear that a cross-talk between the inflammatory response and blood coagulation exists, although many of the underlying mechanisms remain unclear. In the present study we investigated the potential anti-inflammatory properties of two different anticoagulant compound...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2005.00633.x

    authors: Olanders K,Börjesson A,Zhao X,Andersson R

    更新日期:2005-04-01 00:00:00

  • Influence of halothane-diethyl-ether azeotrope and isoflurane on ventilation. Re-evaluation of an obsolete drug.

    abstract::The azeotropic mixture of halothane and diethyl-ether has been claimed to be a suitable anaesthetic agent for use during difficult conditions because of its negligible effect on circulation and ventilation. The purpose was to evaluate the effect of halothane-diethyl-ether azeotrope (HE) and isoflurane (ISO) on ventila...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1995.tb05588.x

    authors: Kalman SH,Johnson A

    更新日期:1995-01-01 00:00:00

  • Sepsis patients do not differ in health-related quality of life compared with other ICU patients.

    abstract:INTRODUCTION:The aim of the present multicentre study is to assess health-related quality of life in patients with community-acquired sepsis, severe sepsis, or septic shock (CAS) 6 months after discharge from the intensive care unit (ICU) and to compare the health-related quality of life of the ICU survivors with CAS w...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,多中心研究

    doi:10.1111/aas.12164

    authors: Orwelius L,Lobo C,Teixeira Pinto A,Carneiro A,Costa-Pereira A,Granja C

    更新日期:2013-10-01 00:00:00

  • Arterial hypotension and hypoxaemia during total hip replacement: the importance of thromboplastic products, fat embolism and acrylic monomers.

    abstract::Thirteen patients submitted to total hip replacement surgery by the Charnley technique were studied. Operations were performed under epidural analgesia with the patients awake and breathing air. During the surgical procedure, the magnitude of tissue-thromboplastic activity, the amount of fat globules, the presence of ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1975.tb05219.x

    authors: Modig J,Busch C,Olerud S,Saldeen T,Waernbaum G

    更新日期:1975-01-01 00:00:00

  • Atracurium and vecuronium block nicotine-induced carotid body chemoreceptor responses.

    abstract:BACKGROUND:Vecuronium depresses carotid body chemosensitivity during hypoxia. We hypothesized that this is caused by inhibition of cholinergic transmission of the carotid body. METHODS:The carotid body with its sinus nerve was removed en bloc from thiopentone-anaesthetized adult male New Zealand rabbits and perfused i...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2002.460503.x

    authors: Jonsson M,Kim C,Yamamoto Y,Runold M,Lindahl SG,Eriksson LI

    更新日期:2002-05-01 00:00:00

  • Muscle glutathione metabolism during ischemia and reperfusion in patients undergoing aorto-bifemoral bypass surgery.

    abstract:BACKGROUND:After an ischemia time of 1 h during aortic aneurysm surgery, muscle glutathione redox-status is not altered, indicating that this ischemic insult is well within the scavenging capacity of muscle glutathione, the most important endogenous scavenger. In the present study, the impact of elective aorto-bifemora...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01021.x

    authors: Westman B,Johansson G,Söderlund K,Wernerman J,Hammarqvist F

    更新日期:2006-07-01 00:00:00

  • In vivo spasmolytic effect of ketamine and adrenaline on histamine-induced airway constriction. Direct visualization method with a superfine fibreoptic bronchoscope.

    abstract:BACKGROUND:Ketamine (K) has been reported to produce bronchodilation in patients suffering from asthma. Although most researchers have used indirect measurements to study the effect of K in vivo, the reliability of these indirect methods are controversial. We have developed a new technique to measure the bronchial cros...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1998.tb05106.x

    authors: Hirota K,Hashimoto Y,Sakai T,Sato T,Ishihara H,Matsuki A

    更新日期:1998-02-01 00:00:00

  • Pituitary-adrenal, hormonal changes during induced hypotension with labetol or isoflurane for middle-ear surgery.

    abstract:BACKGROUND:Pituitary-adrenal secretion during induced hypotension for middle-ear surgery has received little attention. Previous work failed to differentiate the effects of induced hypotension from surgical stimulation. We have undertaken a preliminary study examining the effects of hypotension, achieved with labetalol...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1998.tb05075.x

    authors: Matson AM,Shaw M,Loughnan BA,Burrin JM,Hall GM

    更新日期:1998-01-01 00:00:00