ISOFLURANE DOES NOT INCREASE THE INCIDENCE OF INTRAOPERATIVE MYOCARDIAL-ISCHEMIA COMPARED WITH HALOTHANE DURING VASCULAR-SURGERY

被引:6
作者
STUHMEIER, KD [1 ]
MAINZER, B [1 ]
SANDMANN, W [1 ]
TARNOW, J [1 ]
机构
[1] UNIV DUSSELDORF,GEFASSCHIRURG & NIERENTRANSPLANT ABT,W-4000 DUSSELDORF 1,GERMANY
关键词
ANESTHETICS; VOLATILE; HALOTHANE; ISOFLURANE; COMPLICATIONS; INTRAOPERATIVE MYOCARDIAL ISCHEMIA; HEART; MYOCARDIAL INFARCTION; SURGERY; VASCULAR;
D O I
10.1093/bja/69.6.602
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have studied the incidence of new intraoperative myocardial ischaemia (IMI), myocardial infarction (MI) and cardiac death (CD) in 500 consecutive patients undergoing elective major non-cardiac vascular surgery. Patients were allocated randomly to receive either halothane (n = 226) or isoflurane (n = 274) as principal anaesthetic agent. Using real-time ST segment trend analysis (leads V5 and II) IMI (halothane 39%, isoflurane 38%), MI (halothane 1.3%, isoflurane 1.5%) and CD (halothane 0.4%, isoflurane 0.7%) did not differ significantly between the two groups. Twenty-three per cent of IMI episodes were related to haemodynamic disturbances, but unrelated to the type of surgery : 148 supra-aortic (IMI = 39%), 244 abdominal aortic (IMI = 41%) and 108 lower extremity revascularizations (IMI = 33%). We conclude that the choice of volatile anaesthetic agent does not influence cardiac morbidity or mortality in this type of patient
引用
收藏
页码:602 / 606
页数:5
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