Summary
A technique is described for utilizing halothane and controlled ventilation to produce deliberate, controllable hypotensive anaesthesia for laminectomy, spinal fusion, and the combined operation. A series of 140 cases is presented, in 102 of which patients were anaesthetized with halothane. Seventy-one patients had a systolic blood pressure drop of 30 mm. Hg or greater during the procedure, and had significantly less bleeding than those whose operations were performed with a pressure drop of 0-29 mm. Hg. Possible adverse side-effects are discussed.
Résumé
Nous décrivons une technique utilisant l’halothane avec ventilation contrô1ée pour provoquer une anesthésie hypotensive volontaire et contrôlable lors de lami-nectomies, greffes lombaires ou des deux opérations à la fois. Nous présentons une série de 140 cas, dont 102 ont été anesthésiés à 1’halothane. Durant leur intervention, 71 malades ont subi une baisse de pression sanguine de 30 mm. Hg ou plus; ils ont beaucoup moins saigné que ceux dont la pression a baissé de 29 mm. ou moins. Nous éValuons la possibilité d’effets secondaires désagréables.
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Sleath, G.W., Archer, L.T. Halothane for controlled hypotension in back surgery. Can. Anaes. Soc. J. 14, 407–412 (1967). https://doi.org/10.1007/BF03003803
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DOI: https://doi.org/10.1007/BF03003803