Anaesthesia of the spinal cord-injured patient: cardiovascular problems and their management

Paraplegia
G F Troll, G J Dohrmann

Abstract

An increased venous capacity and a decreased myocardial contractility can be expected in patients with an acute spinal cord lesion at or above T6. Both factors may contribute to a high incidence of arterial hypotension and pulmonary oedema in these patients especially during anaesthesia. We feel that the Swan-Ganz catheter provides valuable information concerning prevention, diagnosis and treatment of arterial hypotension and pulmonary oedema. Although there may be occasional difficulty in interpretation of measurements from the Swan-Ganz catheter if high airway pressures are used, it is a more sensitive monitor than C.V.P. measurement and is particularly useful in patients with a sympathectomy secondary to spinal cord trauma.

References

May 1, 1973·Anesthesia and Analgesia·C W QuimbyF E Greifenstein
Aug 1, 1973·Anaesthesia and Intensive Care·J Loughman
Aug 27, 1970·The New England Journal of Medicine·H J SwanD Chonette
Sep 1, 1970·Canadian Anaesthetists' Society Journal·J Desmond
Jan 1, 1962·Annual Review of Medicine·N M GREENE
Mar 1, 1964·Paraplegia·D J CHESHIRE
Feb 1, 1971·Journal of Neurosurgery·G A MeyerV S Gutierrez

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Citations

Aug 12, 2005·Current Surgery·Giselle G Hamad, Ronald C Merrell
Jun 20, 2002·Critical Care Medicine·Manuel Ruiz Bailén
Jan 1, 1979·Journal of Neurosurgery·S E Rawe, P L Perot
Jun 1, 1979·Journal of Neurosurgery·E A Frost
Dec 7, 2007·American Journal of Physiology. Heart and Circulatory Physiology·A S LairdP Carrive
Nov 1, 1982·Anaesthesia·A Fraser, J Edmonds-Seal

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