Van Aken H, Puchstein C, Hidding J
Acta Anaesthesiol Belg. 1982;33(1):5-12.
The use of effective and safe hypotensive agents in neuroanesthesia is a difficult and unanswered question. Most hypotensive agents produce an increase in intracranial pressure and as a result can not be used until the dura is opened. In experiments in dogs, Labetalol, a combined alpha and beta-adrenoceptor antagonist, showed no increase in intracranial pressure and no change in intracranial compliance by producing hypotension.
在神经麻醉中使用有效且安全的降压药物是一个困难且尚无定论的问题。大多数降压药物会导致颅内压升高,因此在硬脑膜打开之前不能使用。在犬类实验中,拉贝洛尔(一种α和β肾上腺素能受体联合拮抗剂)通过产生低血压,未显示出颅内压升高,颅内顺应性也未改变。