Refractory Hypotension During General Anesthesia Despite Withholding Telmisartan

Refractory hypotension during general anesthesia despite preoperative discontinuation of an angiotensin receptor blocker

Due to their beneficial reduction in morbidity and mortality angiotensin receptor blockers (ARBs) have become increasingly popular to treat hypertension. However, similar to angiotensin converting enzyme inhibitors, they can lead to severe hypotension in conjunction with general anesthesia and thus have been recommended to be withheld in the morning of surgery. Here, we present a 51 year old fe...

Case Report: Refractory hypotension during general anesthesia despite preoperative discontinuation of an angiotensin receptor blocker [version 1; referees: 2 approved]

Due to their beneficial reduction in morbidity and mortality angiotensin receptor blockers (ARBs) have become increasingly popular to treat hypertension. However, similar to angiotensin converting enzyme inhibitors, they can lead to severe hypotension in conjunction with general anesthesia and thus have been recommended to be withheld in the morning of surgery. Here, we present a 51 year old fe...

Tamsulosin-induced severe hypotension during general anesthesia: a case report

INTRODUCTION Tamsulosin, a selective α1-adrenergic receptor (α1-AR) antagonist, is a widely prescribed first-line agent for benign prostatic hypertrophy (BPH). Its interaction with anesthetic agents has not been described. CASE PRESENTATION We report the case of 54-year-old Asian man undergoing elective left thyroid lobectomy. The only medication the patient was taking was tamsulosin 0.4 mg f...

Vasopressin for refractory hypotension during cardiopulmonary bypass.

Awareness during general anesthesia.

aThe surgeon then made an incision straight down into my stomach. I just started to scream inside my head and prayed that I would not die. I could hear my skin tearing and ripping, and it felt like someone took a blowtorch to my stomach. Then the surgeon cut across my stomach. As he was cutting across my stomach, it felt as i f someone took 500pound bowling balls and dropped them right below my...