Use of Epidural Anesthesia in Non-cardiac Surgery in Two Cases Complicated by Hypertrophic Cardiomyopathy
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概要
- 論文の詳細を見る
Two patients with hypertrophic cardiomyopathy (HCM) who underwent non-cardiac surgery were managed successfully using epidural anesthesia as the principal intraoperative anesthesia. Epidural block was induced by inserting an epidural catheter from the lumbar vertebrae toward the caudal side. Epidural anesthesia is usually avoided in HCM patients because of the risk of a decreased preload or afterload causing stenosis in the left ventricular outflow tract. However, in surgery that requires an anesthesia level at L1 or below, which has little effect on sympathetic nerves, epidural anesthesia that maintains a stabilized hemodynamic state appears to be an excellent option.
- 東海大学の論文
著者
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Takahashi M
Tokai Univ. School Of Medicine
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TAKEYAMA KAZUHIDE
Department of Anesthesiology, Tokai University School of Medicine
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NISHIYAMA Junichi
Department of Anesthesiology, School of Medicine, Tokai University
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TAKIGUCHI Mamoru
Department of Anesthesiology, Tokai University School of Medicine
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TAKAYA Tetsuo
Department of Anesthesiology, Tokai University School of Medicine
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Takiguchi M
Unisis Corporation
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Takaya Tetsuo
Department Of Anesthesiology Tokai University School Of Medicien
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Takeyama K
Tokai Univ. School Of Medicine Kanagawa Jpn
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Takeyama Kazuhide
Department Of Anesthesiology Discipline Of Surgery Tokai University School Of Medicine
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Takiguchi Mamoru
Department Of Anesthesiology Tokai University School Of Medicine
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Nishiyama J
Department Of Anesthesiology School Of Medicine Tokai University
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Nishiyama Junichi
Department Of Anesthesiology Tokai University School Of Medicine
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