Arai Takero, Cho Tamihiro, Enomoto Sumie, Ichiki Akemi, Kase Sachiko, Sato Eiru, Tsuchida Misa, Kuno Yuichiro, Inoue Hisashi, Okuda Yasuhisa
Department of Anesthesiology, Koshigaya Hospital, Dokkyo University School of Medicine, Koshigaga.
Masui. 2005 Jul;54(7):757-61.
Non-cardiac surgery presents significant risks to patients with cardiac dysfunction. The relative safety of different anesthetic techniques has been studied without mentioning any clear indication. The depression of myocardial contractility by anesthetic agents limits their use in patients with cardiac dysfunction, especially for induction of anesthesia. We used olprinone hydrochloride perioperatively in the anesthetic management of three patients. In all cases, anesthetic induction, intraoperative course and the postoperative period proceeded uneventfully. We consider that perioperative use of continuous olprinone hydrochloride infusion may be suitable for patients with cardiac dysfunction for non-cardiac surgery.
非心脏手术给心脏功能不全的患者带来重大风险。不同麻醉技术的相对安全性已得到研究，但未提及任何明确的适应证。麻醉药物对心肌收缩力的抑制限制了它们在心脏功能不全患者中的使用，尤其是在麻醉诱导时。我们在三名患者的麻醉管理中围手术期使用了盐酸奥普力农。在所有病例中，麻醉诱导、术中过程及术后恢复均顺利。我们认为围手术期持续输注盐酸奥普力农可能适用于心脏功能不全的患者进行非心脏手术。
