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Chapter 4 - Hypotension

from Section II - Signs and symptoms

Published online by Cambridge University Press:  05 August 2016

James W. Heitz
Thomas Jefferson University Hospital
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Post-Anesthesia Care
Symptoms, Diagnosis and Management
, pp. 27 - 36
Publisher: Cambridge University Press
Print publication year: 2016

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Barbour, C.M., Little, D.M.. Postoperative hypotension. JAMA 1957; 163:15291532.CrossRefGoogle Scholar
Brandt, S., Regueira, T., Bracht, H., et al. Effect of fluid resuscitation on mortality and organ function in experimental sepsis models. Crit Care 2009; 13:R186. doi:10.1186/cc8179.CrossRefGoogle ScholarPubMed
Michard, F.. Changes in arterial pressure during mechanical ventilation. Anesthesiology 2005; 103:419428.CrossRefGoogle ScholarPubMed
De Backer, D., Heenen, S., Piagnerelli, M., Koch, M., Vincent, J.L.. Pulse pressure variations to predict fluid responsiveness: influence of tidal volume. Intensive Care Med 2005; 31:517523.CrossRefGoogle ScholarPubMed
Cannesson, M., Desebbe, O., Rosamel, P., et al. Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre. Br J Anaesth 2008; 101:200206.CrossRefGoogle ScholarPubMed
Heenen, S., De Backer, D., Vincent, J.-L.. How can the response to volume expansion in patients with spontaneous respiratory movements be predicted? Crit Care 2006; 10:R102. doi:10.1186/cc4970.CrossRefGoogle ScholarPubMed
Magner, S.A., Georgiadis, D.G., Cheong, T.. Respiratory variations in right atrial pressure predict response to fluid challenge. J Crit Care 1992; 7:7685.Google Scholar
Magder, S., Lagonidis, D., Erice, F.. The use of respiratory variations in right atrial pressure to predict the cardiac output response to PEEP. J Crit Care 2002; 18:108114.Google Scholar
Dahl, M.K., Vistisen, S.T., Koefoed-Nielsen, J., Larsson, A.. Using an expiratory resistor, arterial pulse pressure variations predict fluid responsiveness during spontaneous breathing: an experimental porcine study. Crit Care 2009; 13:R39. doi: 10.1186/cc7760.CrossRefGoogle ScholarPubMed
Hong, D.M., Lee, J.M., Seo, J.H., et al. Pulse pressure variation to predict fluid responsiveness in spontaneously breathing patients: tidal vs forced inspiratory breathing. Anaesthesia 2014; 69:717722.CrossRefGoogle ScholarPubMed
Blehar, D.J., Resop, D., Chin, B., Dayno, M., Gaspari, R.. Inferior vena cava displacement during respirophasic ultrasound imaging. Crit Ultrasound J 2012; 4:18. doi:10.1186/2036-7902-4-18.CrossRefGoogle ScholarPubMed
Song, Y., Kwak, Y.L., Song, J.W., Kim, Y.J., Shim, J.K.. Respirophasic carotid artery peak velocity variation as a predictor of fluid responsiveness in mechanically ventilated patients with coronary artery disease. Br J Anaesth 2014;113:6166.CrossRefGoogle ScholarPubMed
Hornby, K., Hornby, L., Shemie, S.D.. A systematic review of autoresuscitation after cardiac arrest. Crit Care Med 2010; 38:12461253.CrossRefGoogle ScholarPubMed
Aviado, D.M., Aviado, D.G.. The Bezold–Jarisch reflex: a historical perspective of cardiopulmonary reflexes. Ann NY Acad Sci 2001; 940:4858.CrossRefGoogle ScholarPubMed
Verbene, A.J.M., Saita, M., Sartor, D.M.. Chemical stimulation of vagal afferent neurons and sympathetic vasomotor tone. Brain Res Rev 2003; 41:288305.CrossRefGoogle Scholar
Demetriades, D., Chan, L.S., Bhasin, P., et al. Relative bradycardia in patients with traumatic hypotension. J Trauma 1998; 45: 534539.CrossRefGoogle ScholarPubMed
Wisbach, G., Tobias, S., Woodman, R., Spalding, A., Lockette, W.. Preserving cardiac output with beta-adrenergic receptor blockade and inhibiting the Bezold–Jarisch reflex during resuscitation from hemorrhage. J Trauma 2007; 63:2632.CrossRefGoogle ScholarPubMed
Serebrovskaya, T.V.. Comparison of respiratory and circulatory human responses to progressive hypoxia and hypercapnia. Respiration 1992; 59:3441.CrossRefGoogle ScholarPubMed
Adams, J.E., Sicard, G.A., Allen, B.T., et al. Diagnosis of perioperative myocardial infarction with measurement of cardiac troponin I. N Engl J Med 1994; 330:670674.CrossRefGoogle ScholarPubMed
Smith, R.C., Leung, J.M., Mangano, D.T.. Postoperative myocardial ischemia in patients undergoing coronary artery bypass graft surgery. S.P.I. Research Group. Anesthesiology 1991; 74:464473.CrossRefGoogle ScholarPubMed
Mangano, D.T.. Perioperative cardiac morbidity. Anesthesiology 1990; 72:153184.CrossRefGoogle ScholarPubMed
Cohn, P.F.. Silent myocardial ischemia. Ann Intern Med 1988; 109:312317.CrossRefGoogle ScholarPubMed
Kannel, W.B., Abbott, R.D.. Incidence and prognosis of unrecognized myocardial infarction: an update on the Framingham Study. N Engl J Med 1984; 311:11441147.CrossRefGoogle ScholarPubMed
Knight, A.A., Hollenberg, M., London, M.J., et al. Perioperative myocardial ischemia: importance of the preoperative ischemic pattern. Anesthesiology 1988; 68:681688.CrossRefGoogle ScholarPubMed
Mangano, D.T., Browner, W.S., Hollenberg, M., et al. and the Study of Perioperative Ischemia Research Group. Association of perioperative myocardial ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery. N Engl J Med 1990; 323:17811788.CrossRefGoogle ScholarPubMed
Bone, R.C., Balk, R.A., Cerra, F.B., et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest 1992; 101:16441655.CrossRefGoogle ScholarPubMed
Fasting, S., Gisvold, S.E.. Serious intraoperative problems – a five year review of 83,844 anesthetics. Can J Anaesth 2002; 49:545553.CrossRefGoogle ScholarPubMed
Gurrieri, C., Weingarten, T.N., Martin, D.P., et al. Allergic reactions during anesthesia at a large United States referral center. Anesth Analg 2011; 113:12021212.CrossRefGoogle Scholar
Hepner, D.L., Castells, M.C.. Anaphylaxis during the perioperative period. Anesth Analg 2003; 97;13811395.CrossRefGoogle ScholarPubMed
Reddy, J.I., Cooke, P.J., van Schalkwyk, J.M., et al. Anaphylaxis is more common with rocuronium and succinylcholine than with atracurium. Anesthesiology 2015; 122:3945.CrossRefGoogle ScholarPubMed
The 2011 National Blood Collection and Utilization Survey Report. Report of the US Department of Health and Human Services. Available at Accessed November 30, 2014.Google Scholar
Doria, C., Elia, E., Kang, Y., et al. Acute hypotensive transfusion reaction during liver transplantation in a patient on angiotensin converting enzyme inhibitors from low aminopeptidase P activity. Liver Transpl 2008; 14:684687.CrossRefGoogle Scholar
Rollins, M.D., Molofsky, A.B., Nambia, A., et al. Two septic transfusion reactions presenting as TRALI from a split plateletpheresis unit. Crit Care Med 2012; 40:24882491.CrossRefGoogle ScholarPubMed
Kehlet, H., Binder, C.. Adrenocortical function and clinical course during and after surgery in unsupplemented glucocorticoid-treated patients. Br J Anaesth 1973; 45:10431048.CrossRefGoogle ScholarPubMed
Knudsen, L., Christiansen, L.A, Lorentzen, J.E.. Hypotension during and after operation in glucocorticoid-treated patients. Br J Anaesth 1981; 51:295301.CrossRefGoogle Scholar
de Jong, F.H., Mallios, C., Jansen, C., Scheck, P.A., Lamberts, S.W.. Etomidate suppresses adrenocortical function by inhibition of 11 beta-hydroxylation. J Clin Endocrinol Metab 1984; 59:11431147.CrossRefGoogle ScholarPubMed
Majesko, A., Darby, J.M.. Etomidate and adrenal insufficiency: the controversy continues. Crit Care 2010; 14:338. doi:10.1186/cc9338.CrossRefGoogle ScholarPubMed

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