Anesthetic Mechanisms | Technology & Monitoring in Anesthesiology | General Pharmacology
Haemodynamic stability in an optimised propofol-remifentanil based anaesthesia for ophthalmic surgery
JJ Vos, TWL Scheeren, VW Renardel de Lavalette, MMRF Struys, AF Kalmar*
*Corresponding author: AF Kalmar
Anaesthesiology, University Medical Center Groningen (UMCG), Groningen, Netherlands
F1000Posters 2013, 4: 75 (poster) [English]
Poster [848.97 KB]
Euroanaesthesia 2012, 9 - 12 Jun 2012, P000
University Medical Center Groningen (UMCG)
A balanced anaesthesia with a high antinociceptive contribution (and consequently relatively lower propofol administration) often induces hypotension, thus jeopardizing tissue oxygenation. In some cases, it is not feasible to decrease the level of anaesthesia because of the intermittent nature of the noxious stimuli, combined with an absolute necessity of akinesia and stable level of anaesthesia.
A high-antinociceptive general anaesthesia with goal-directed fluid therapy and moderate norepinephrine support preserved StO 2 despite a slight decrease in CI, while other haemodynamic variables remain within a clinically satisfactory range, suggesting this maintains tissue oxygenation in anaesthesia requiring a high level of antinociception.
No relevant competing interests disclosed.
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