Demas K, Wyner J, Mihm F G, Samuels S
Br J Anaesth. 1986 Dec;58(12):1357-64. doi: 10.1093/bja/58.12.1357.
The anaesthetic records of 261 heart transplant recipients were reviewed. Data collected included demographic characteristics, physical status, results of preoperative cardiac catheterization studies, anaesthetics agents and incidences of complications which may have been related to anaesthetic management. Forty-five patients received a volatile agent (methoxyflurane 31, enflurane 10, halothane 4) and 216 patients were anaesthetized with a high-dose narcotic technique (morphine 122, fentanyl 71, hydromorphone 14, meperidine 9). Hypotension and arrhythmias were correlated with use of volatile and narcotic anaesthetics, respectively. No mortality was associated with anaesthetic management.
回顾了261例心脏移植受者的麻醉记录。收集的数据包括人口统计学特征、身体状况、术前心导管检查结果、麻醉剂以及可能与麻醉管理相关的并发症发生率。45例患者使用了挥发性麻醉剂（甲氧氟烷31例、恩氟烷10例、氟烷4例），216例患者采用了高剂量麻醉技术（吗啡122例、芬太尼71例、氢吗啡酮14例、哌替啶9例）。低血压和心律失常分别与挥发性麻醉剂和麻醉性镇痛药的使用有关。麻醉管理未导致死亡。
