Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA.
J Clin Anesth. 2011 Aug;23(5):384-92. doi: 10.1016/j.jclinane.2010.12.013.
To investigate whether patients with postural orthostatic tachycardia syndrome (POTS) developed unexpected perioperative complications.
Retrospective case series.
Academic medical center.
The records of 13 patients with POTS, who underwent surgical procedures during general anesthesia, were studied. Details of disease management, anesthetic induction, hemodynamic response to induction and intubation, intraoperative course, and immediate postoperative management were analyzed.
Three patients developed prolonged intraoperative hypotension, which was not associated with induction of anesthesia. All 13 patients were successfully treated and they recovered without complications. There were no unplanned hospital or intensive care admissions.
Intraoperative hypotension, but not tachycardia, was observed in three of 13 patients with POTS who received general anesthesia for a variety of surgical procedures using multiple medications and techniques.
调查体位性心动过速综合征（POTS）患者是否在围手术期出现意外并发症。
回顾性病例系列。
学术医疗中心。
研究了 13 名接受全身麻醉手术的 POTS 患者的记录。分析了疾病管理、麻醉诱导、诱导和插管时的血液动力学反应、手术过程和术后即刻管理的详细信息。
3 名患者出现术中低血压，与麻醉诱导无关。13 名患者均成功治疗，无并发症恢复。没有计划外的住院或重症监护病房入院。
在接受全身麻醉的 13 名 POTS 患者中，有 3 名患者观察到术中低血压，但无心动过速，这些患者接受了多种药物和技术的各种手术。
