Hessel E A
Cardio-Thoracic Anesthesiology, University of Kentucky School of Medicine, Lexington.
Surg Clin North Am. 1989 Aug;69(4):775-93. doi: 10.1016/s0039-6109(16)44884-x.
Factors that influence the choice of anesthetic, monitoring methods, and fluid management for aneurysm repair are reviewed, with particular attention to epidural anesthesia and analgesia and the pulmonary artery catheter. Management of bleeding, renal preservation, temperature control, and myocardial ischemia are discussed, and special anesthetic issues associated with ruptured aneurysms and juxtarenal and suprarenal surgery are summarized.
本文综述了影响动脉瘤修复手术麻醉选择、监测方法及液体管理的因素,尤其关注硬膜外麻醉与镇痛以及肺动脉导管。讨论了出血管理、肾脏保护、体温控制及心肌缺血问题,并总结了与破裂动脉瘤以及肾周和肾上腺手术相关的特殊麻醉问题。