Central haemodynamic changes and regional blood flow were studied using the microsphere technique, during labetalol-induced hypotension in dogs anaesthetized with pentobarbitone and fentanyl. Labetalol 15 mg kg-1 decreased mean arterial pressure from an average of 88 mm Hg to 47 mm Hg. Mean pulmonary arterial pressure was unchanged. Cardiac output was reduced by decrease in stroke volume, while...

OBJECTIVE To compare the effects of esmolol and remifentanil, used as adjuncts for induced hypotension on surgical conditions and short-term cognitive functions, during tympanoplasty. METHODS The study was conducted in Hacettepe University, School of Medicine, Ankara, Turkey between January 2005 and December 2006 following Institutional Ethical Committee approval, 40 ASA I-II patients, betwee...

Using a hematocrit monitoring system and a Swan-Ganz catheter, the authors investigated the changes in blood volume and hemodynamic parameters before, during, and after dialysis-induced hypotension. When hypotension occurred, the cardiac output dropped sharply, and there were concomitant sudden decreases in the mean pulmonary arterial pressure and the mean right atrial pressure. These are attri...

A new continuous noninvasive blood pressure measurement device, the T-Line Tensymeter TL100 (Tensys Medical Inc., San Diego, CA, USA) which enables avoidance of arterial cannulation has been developed. We compared the values obtained using the T-Line values to simultaneous arterial line measurements in patients undergoing general anaesthesia with induced hypotension. Twenty-five patients, aged ...

Damage Control Resuscitation and Surgery is the concept of controlled hypotension, haemostatic resuscitation and abbreviated surgical procedures following severe trauma; the practice of which has resulted in improved mortality and morbidity. We describe a rare case of thoraco-abdominal impalement successfully managed based on the concept of Damage Control Resuscitation.

BACKGROUND Oral and maxillofacial surgeons are concern about the intraoperative bleeding because blood supply to face is very generous. Increased blood loss may lead to the need for transfusion of blood and blood products and hence patients are exposed to the risks associated with it. Hence, this study was undertaken to compare whether there is any significant difference in blood loss, surgical...

Several methods have been suggested to decrease bleeding during surgery, one of which is the usage of hypotensive anesthetic agents. Endoscopic Sinus Surgery (ESS) is one of the surgeries which need a clear field and the amount of bleeding profoundly impacts the ability of surgeons. Current study was designed to evaluate the effect of remifentanil combined with propofol versus Isoflurane on blo...

In two groups of patients undergoing induced hypotension with sodium nitroprusside or trimetaphan blood concentrations of lactate, pyruvate and standard bicarbonate did not differ significantly between the groups. In the nine patients who received trimetaphan there was a progressive, but statistically non-significant, decrease in mean lactate. Nitroprusside (15 patients) was associated with a s...

Intradialytic hypotension (IDH) is a detrimental complication of maintenance hemodialysis, but how it is defined and reported varies widely in the literature. European Best Practice Guideline and Kidney Disease Outcomes Quality Initiative guidelines require symptoms and a mitigating intervention to fulfill the diagnosis, but morbidity and mortality outcomes are largely based on blood pressure a...

BACKGROUND The aim of the present study is to describe clinical correlates hypotension and its associated outcomes in patients with acute organophosphorus poisoning (AOPP). METHODS In this retrospective cohort study, we analyzed data pertaining 871 AOPP who were treated at two hospitals. Data from hypotensive non-hypotensive compared identify hypotension. We also evaluated association between p...