Haemodynamic effects of intravenous nimodipine following aneurysmal subarachnoid haemorrhage: implications for monitoring.

Abstract:

:Nimodipine is widely used in patients with aneurysmal subarachnoid haemorrhage for the prevention and treatment of delayed ischaemic neurological deficits. Intravenous nimodipine has significant vasodilatory properties and may compromise the achievement of haemodynamic targets in patients who receive hypertensive hypervolaemic haemodilution therapy. We have studied 22 patients who received postoperative therapy with intravenous nimodipine and show that in a substantial minority (29%) hypotension was not reversed by simple volume loading or low doses of inotropes. Formal haemodynamic assessment in these patients showed widely varying haemodynamic variables, with differences in the need for inotropic and vasopressor therapy. We conclude that optimal haemodynamic management in this subgroup of patients will require the use of pulmonary artery catheterisation.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Radhakrishnan D,Menon DK

doi

10.1111/j.1365-2044.1997.112-az0105.x

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

489-91

issue

5

eissn

0003-2409

issn

1365-2044

journal_volume

52

pub_type

临床试验,杂志文章
  • Comparison of sevoflurane and propofol with rocuronium for modified rapid-sequence induction of anaesthesia.

    abstract::We compared the use of sevoflurane and propofol with three different doses of rocuronium for modified rapid-sequence induction of anaesthesia. One hundred and forty adult patients were randomly allocated to have a rapid-sequence intravenous induction with propofol 2-3 mg.kg-1 (group P) or an inhalational induction wit...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1999.00745.x

    authors: Lowry DW,Carroll MT,Mirakhur RK,Hayes A,Hughes D,O'Hare R

    更新日期:1999-03-01 00:00:00

  • The in vitro performance of carbon dioxide absorbents with and without strong alkali apparatus.

    abstract::We report the in vitro longevity of a conventional soda lime carbon dioxide absorbent and an absorbent free from strong alkali (Amsorb). Although the times taken to breakthrough of carbon dioxide (> 0.5%) within an in vitro low flow breathing system were shorter with the alkali-free absorbent, we found that the size a...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2001.01985.x

    authors: Bedi A,Gallagher AC,Fee JP,Murray JM

    更新日期:2001-06-01 00:00:00

  • The incidence of transient neurological symptoms after spinal anaesthesia with lidocaine compared to prilocaine.

    abstract::The purpose of this double-blind study was to investigate the incidence of transient neurological symptoms after the use of isobaric lidocaine and isobaric prilocaine for spinal anaesthesia. Seventy patients (ASA 1-2, age between 18 and 70 years) were randomly assigned to two groups of 35 patients each, to receive eit...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2000.01618-4.x

    authors: de Weert K,Traksel M,Gielen M,Slappendel R,Weber E,Dirksen R

    更新日期:2000-10-01 00:00:00

  • An unusual complication of lithotripsy.

    abstract::The case described illustrates a most unusual course of events due to a perforation in the wall of the bladder during transurethral lithotripsy. Irrigation fluid forced its way retroperitoneally to the mediastinum. The differential diagnostic problems encountered are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1983.tb12160.x

    authors: Sundnes KO,Vaagenes P,Kvarstein B

    更新日期:1983-07-01 00:00:00

  • Anabolic steroid abuse: physiological and anaesthetic considerations.

    abstract::This review summarises the physiological and pharmacological effects of the anabolic steroids used to enhance performance in sports. The anabolic steroids promote muscle growth and protein synthesis. Side-effects of anabolic steroids include cardiomyopathy, atherosclerosis, hypercoagulopathy, hepatic dysfunction, and ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2005.04218.x

    authors: Kam PC,Yarrow M

    更新日期:2005-07-01 00:00:00

  • Influence of ketanserin pretreatment on the haemodynamic responses to sternotomy.

    abstract::The effect of intravenous ketanserin on the pressor response to sternotomy was studied in 36 patients undergoing coronary artery surgery. Two doses of the drug (10 mg and 20 mg) were compared with a placebo injection of saline. After induction of anaesthesia, haemodynamic variables were measured until the institution ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1986.tb13275.x

    authors: Cashman JN,Thompson MA,Bennett A

    更新日期:1986-05-01 00:00:00

  • Anaesthesia in a patient with Noonan's syndrome and cardiomyopathy.

    abstract::A 5-year-old girl with Noonan's syndrome and a hypertrophic cardiomyopathy presented for myelography and subsequently, laminectomy. The anaesthetic management of the patient is described and the potential problems of the facial, cardiovascular and skeletal abnormalities associated with the condition are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02010.x

    authors: Campbell AM,Bousfield JD

    更新日期:1992-02-01 00:00:00

  • Narcotic-induced choledochoduodenal sphincter spasm reversed by naloxone. A case report and review.

    abstract::A case report of biliary colic induced by narcotic premedication and reversed by naloxone administration is described and the literature reviewed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12960.x

    authors: Bird KJ

    更新日期:1986-11-01 00:00:00

  • Treatment of severe accidental hypothermia using the Clinitron bed.

    abstract::Two cases of severe accidental hypothermia (core temperature less than 28 degrees C) rewarmed employing the Clinitron system are described. The physiological changes during hypothermia and rewarming are discussed and the current concepts of rewarming (active external versus internal) outlined. It is suggested that sev...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb03985.x

    authors: Miles JM,Thompson GR

    更新日期:1987-04-01 00:00:00

  • All that wheezes is not asthma.

    abstract::A case is presented in which the inhalation of a foreign body caused a respiratory arrest and was subsequently diagnosed and treated as an attack of acute asthma. The presentation, diagnosis, investigation and treatment of this condition is discussed and a review of the literature is presented. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13177.x

    authors: Lloyd-Thomas AR,Bush GH

    更新日期:1986-02-01 00:00:00

  • Decision analysis in anaesthesia: a tool for developing and analysing clinical management plans.

    abstract::Traditional medical decision making is unstructured and incorporates evidence haphazardly. I present a more structured approach based on decision analysis, a model that considers all relevant options and outcomes informed by evidence where appropriate. This method is useful both for planning clinical management and fo...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2006.04649.x

    authors: Yentis SM

    更新日期:2006-07-01 00:00:00

  • The management of metformin overdose.

    abstract::Only two cases of deliberate self-poisoning with metformin have been described in the literature. We report the management of three cases, all of which presented with severe lactic acidosis. Two cases had a fatal outcome. The options for treatment and previous cases reported in the literature are reviewed. Recommendat...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1998.436-az0549.x

    authors: Teale KF,Devine A,Stewart H,Harper NJ

    更新日期:1998-07-01 00:00:00

  • A randomised placebo-controlled trial of the effects of midazolam premedication on children's postoperative cognition.

    abstract::This randomised, placebo-controlled study assessed the effects of midazolam premedication on children's postoperative cognition and physical morbidity. In all, 179 children aged 5-10 years were randomly assigned to receive buccal midazolam (0.2 mg x kg(-1)) or placebo before sevoflurane-nitrous oxide anaesthesia for m...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05148.x

    authors: Millar K,Asbury AJ,Bowman AW,Hosey MT,Martin K,Musiello T,Welbury RR

    更新日期:2007-09-01 00:00:00

  • The alcoholic patient and surgical stress.

    abstract::In order to find out how the response to operative trauma is influenced by chronic alcohol consumption, 53 patients (28 alcoholics and 25 non-alcoholics) were investigated. The chronic alcoholic was defined as a person having a regular, daily alcohol consumption of over 70 g pure alcohol for at least 3 years. The mean...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1982.tb01810.x

    authors: Haxholdt OS,Johansson G

    更新日期:1982-08-01 00:00:00

  • Temazepam in fast dispensing dosage form as a premedication for children.

    abstract::Forty-seven children aged between four and 11 years received temazepam 0.5 mg/kg in a novel fast dispensing dosage form. The preparation was well accepted and associated with few side-effects. Satisfactory sedation and anxiolysis was obtained in over 93% of patients. The relative merits of a variety of routes of admin...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10792.x

    authors: Smith GB,Hughes DG,Kumar V

    更新日期:1985-04-01 00:00:00

  • Echocardiographic assessment of the haemodynamic effects of propofol: a comparison with etomidate and thiopentone.

    abstract::The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09349.x

    authors: Gauss A,Heinrich H,Wilder-Smith OH

    更新日期:1991-02-01 00:00:00

  • Conservation ethics and anaesthesia.

    abstract::The current attitude of conservators towards restoration is to preserve objects and materials in the condition as they are but without attempting to restore them 'as new'. Museum objects have generally ceased to serve their original utilitarian function but have become objects for study, information and inspiration. C...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2003.03402.x

    authors: Houghton IT

    更新日期:2003-10-01 00:00:00

  • Association of Anaesthetists: anaesthesia and peri-operative care for Jehovah's Witnesses and patients who refuse blood.

    abstract::There are approximately 8.5 million Jehovah's Witnesses and around 150,000 live in Great Britain and Ireland. Based on their beliefs and core values, Jehovah's Witnesses refuse blood component transfusion (including red cells, plasma and platelets). They regard non-consensual transfusion as a physical violation. Conse...

    journal_title:Anaesthesia

    pub_type: 信件

    doi:10.1111/anae.14441

    authors: Klein AA,Bailey CR,Charlton A,Lawson C,Nimmo AF,Payne S,Ruck Keene A,Shortland R,Smith J,Torella F,Wade P

    更新日期:2019-01-01 00:00:00

  • A comparison of percutaneous and perconjunctival routes of administration of peri-ocular anaesthesia for day case cataract surgery.

    abstract::This study of 100 day case patients having cataract surgery under local anaesthesia compared patient acceptance of two peri-ocular techniques; a transcutaneous method and a transconjunctival method. A significant difference was found in relation to the pain felt on injection such that all peri-ocular blocks at our uni...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06958.x

    authors: Sweeney EJ,Barber K,Prosser JA

    更新日期:1993-04-01 00:00:00

  • Regional anaesthesia for repeat Caesarean section in a patient with phantom limb pain.

    abstract::The triggering of phantom limb pain by subarachnoid or epidural anaesthesia has been well described leading to the suggestion that neuraxial regional anaesthesia is relatively contraindicated in lower limb amputees. We report our experience of the provision of anaesthesia for repeat Caesarean section on two occasions ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07657.x

    authors: Uncles DR,Glynn CJ,Carrie LE

    更新日期:1996-01-01 00:00:00

  • Halothane hepatitis in an 11-month-old child.

    abstract::Halothane hepatitis is extremely rare in childhood. However, this occurred in an 11-month-old infant, following multiple exposure to halothane. The diagnosis was confirmed by detection of specific antibodies to halothane-sensitised rabbit hepatocytes. The anaesthetic technique for a subsequent procedure with a halotha...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13053.x

    authors: Whitburn RH,Sumner E

    更新日期:1986-06-01 00:00:00

  • Transtracheal illumination for optimal tracheal tube placement. A clinical study.

    abstract::The tracheas of 420 adult patients were intubated using the tip of a lighted stylet placed inside the lumen of the tracheal tube, just proximal to the tube cuff. The maximum point of transillumination was visible just distal to the cricoid cartilage, with proper cuff positioning. The lighted stylet was also introduced...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb09198.x

    authors: Mehta S

    更新日期:1989-12-01 00:00:00

  • A simulation-based evaluation of two proposed alternatives to Luer devices for use in neuraxial anaesthesia.

    abstract::The National Patient Safety Agency has issued a Patient Safety Alert with the aim of eliminating Luer connectors from equipment for lumbar puncture and subarachnoid injections by 1 April 2011, and from all neuraxial and regional anaesthesia equipment in 2013. B-link (UK) Ltd and InterVene Ltd have produced non-Luer co...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2010.06537.x

    authors: Cook TM,Payne S,Skryabina E,Hurford D,Clow E,Georgiou A

    更新日期:2010-11-01 00:00:00

  • Pre-operative optimisation of the surgical patient with diagnosed and undiagnosed diabetes: a practical review.

    abstract::Peri-operative hyperglycaemia, whether the cause is known diabetes, undiagnosed diabetes or stress hyperglycaemia, is a risk factor for harm, increased length of stay and death. There is increasing evidence that peri-operative hyperglycaemia is a modifiable risk factor, and many of the interventions required to improv...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.14510

    authors: Levy N,Dhatariya K

    更新日期:2019-01-01 00:00:00

  • A novel device for patient-controlled sedation: laboratory and clinical evaluation of the Baxter Intermate LV250 infusor and patient-control module.

    abstract::The Baxter Intermate LV250 infusor is a large capacity, high flow mechanical infusor, designed to deliver viscous solutions and suspensions. The objective of the laboratory study was to evaluate the LV250 infusor when used with either 0.9% sodium chloride solution or an emulsion, propofol 1%. Following this, the LV250...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07702.x

    authors: Hamid SK,Wong PK,Carmichael F,White K,Asbury AJ

    更新日期:1996-02-01 00:00:00

  • Damage to the laryngeal mask by residual fluid in the cuff.

    abstract::It has been suggested that, in some situations, the cuff of the laryngeal mask should be filled with fluid. We speculated that this practice might damage the device during sterilisation in an autoclave. We studied whether injection of a small volume of water into the cuff of the laryngeal mask and subsequent sterilisa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.242-az0377.x

    authors: Asai T,Koga K,Morris S

    更新日期:1997-10-01 00:00:00

  • Blood ordering practices in obstetric units in the United Kingdom.

    abstract::A postal questionnaire on blood ordering practices and blood availability was sent to 89 randomly selected maternity units within the United Kingdom. The replies demonstrated a wide variation in crossmatching practices. Of those units that replied, 56% crossmatch for elective and 64% for emergency Caesarean section, 5...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07483.x

    authors: Clark VA,Wardall GJ,McGrady EM

    更新日期:1993-11-01 00:00:00

  • The legal responsibility of the anaesthetist.

    abstract::The various ways in which an anaesthetist may come into contact with the process of the criminal and civil law have been discussed. Some comparisons have been made between the English Law and that of other countries. The need for vigilance by professional bodies representing medical practitioners in monitoring and mak...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1977.tb11553.x

    authors: Havard JD

    更新日期:1977-01-01 00:00:00

  • Neostigmine after spontaneous recovery from neuromuscular blockade. Effect on depth of blockade monitored with train-of-four and tetanic stimuli.

    abstract::The effect of neostigmine on neuromuscular function was examined after spontaneous recovery from an atracurium-induced neuromuscular blockade, which reached a train-of-four ratio of either 0.5 or 0.9. Two doses of neostigmine 2.5 mg were given 5 minutes apart. Neuromuscular recovery was assessed with train-of-four and...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11280.x

    authors: Goldhill DR,Wainwright AP,Stuart CS,Flynn PJ

    更新日期:1989-04-01 00:00:00

  • A comparative study of preload-adjusted maximal and peak power: assessment of ventricular performance in clinical practice.

    abstract::This study was performed to determine whether preload-adjusted peak power can act as a surrogate for preload-adjusted maximal power in the assessment of left ventricular performance in the clinical setting. Ninety-nine consecutive patients who had undergone elective coronary artery bypass grafting were studied. Fifty-...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2004.03974.x

    authors: Amà R,Claessens T,Roosens C,Segers P,Verdonck P,Poelaert J

    更新日期:2005-01-01 00:00:00