Differential effects of lumbar and thoracic epidural anaesthesia on the haemodynamic response to acute right ventricular pressure overload C Missant,

Slides:

Advertisements

Similar presentations

Cardiac effects of acute exhaustive exercise in a rat model

Advertisements

Control of ventricular unloading using an electrocardiogram-synchronized Thoratec paracorporeal ventricular assist device Raffael Amacher, MSc, Alberto.

Blockade of spinal nerves inhibits expression of neural growth factor in the myocardium at an early stage of acute myocardial infarction in rats W. Yue,

Cardiac effects of acute exhaustive exercise in a rat model

D Latzke, P Marhofer, M Zeitlinger, A Machata, F Neumann, E Lackner, S

Linear end-systolic pressure-volume relationship during pulsatile left ventricular bypass represents native heart function Osamu Kawaguchi, MD, John.

N.P. Talbot, P.A. Robbins, K.L. Dorrington

E. Langesæter, L.A. Rosseland, A. Stubhaug

Coronary artery bypass grafting in the awake patient combining high thoracic epidural and femoral nerve block: first series of 15 patients N. Noiseux,

Functional comparison of anaesthetic agents during myocardial ischaemia–reperfusion using pressure–volume loops D.T. Andrews, A.G. Royse, C.F. Royse

Levosimendan is superior to epinephrine in improving myocardial function after cardiopulmonary bypass with deep hypothermic circulatory arrest in rats

A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy—a systematic review and meta-analysis of.

Orthostatic function and the cardiovascular response to early mobilization after breast cancer surgery R.G. Müller, M. Bundgaard-Nielsen, H. Kehlet

Osamu Kawaguchi, MD, Walter E. Pae, MD, FACS, Bill B

Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life M. Ali, D.C. Winter,

Spinal anaesthesia for elective surgery: a comparison of hyperbaric solutions of racemic bupivacaine, levobupivacaine, and ropivacaine J.F. Luck, P.D.W.

M. Boutonnet, V. Faitot, A. Katz, L. Salomon, H. Keita

Thoracic epidural analgesia or patient-controlled local analgesia for radical retropubic prostatectomy: a randomized, double-blind study F. Fant, K.

Abul Kashem, MD, PhD, Sarmina Hassan, MD, PhD, Deborah L

J.-Y. Hwang, H.-S. Na, Y.-T. Jeon, Y.-J. Ro, C.-S. Kim, S.-H. Do

Control of ventricular unloading using an electrocardiogram-synchronized Thoratec paracorporeal ventricular assist device Raffael Amacher, MSc, Alberto.

O. Thom, D. M. Taylor, R. E. Wolfe, J. Cade, P. Myles, H. Krum, R

Effect of acutely increased left ventricular afterload on work output from the right ventricle in conscious dogs Mohanraj K. Karunanithi, BE, MBiomedE,

Development of atelectasis and arterial to end-tidal Pco2-difference in a porcine model of pneumoperitoneum C.M. Strang, T. Hachenberg, F. Fredén, G.

Maximizing hemodynamic effectiveness of biventricular assistance by direct cardiac compression studied in ex vivo and in vivo canine models of acute heart.

Acute left ventricular failure after bilateral lung transplantation for idiopathic pulmonary arterial hypertension Tom Verbelen, MD, Sophie Van Cromphaut,

L.A. Steiner, L. Hauenstein, W. Ruppen, K.F. Hampl, M.D. Seeberger

Intraoperative thoracic epidural anaesthesia attenuates stress-induced immunosuppression in patients undergoing major abdominal surgery† O. Ahlers, I.

D.H.J. Davis, M. Oliver, A.J. Byrne British Journal of Anaesthesia

W. Ruppen, L. A. Steiner, J. Drewe, L. Hauenstein, S. Brugger, M. D

Development of acute tolerance to the EEG effect of propofol in rats†

Support Your Specialty

Effects of magnesium sulphate on intraoperative anaesthetic requirements and postoperative analgesia in gynaecology patients receiving total intravenous.

Mohanraj K. Karunanithi, BE, MBiomedE, Michael P

D. Jee, D. Lee, S. Yun, C. Lee British Journal of Anaesthesia

Modified Ultrafiltration Improves Left Ventricular Systolic Function In Infants After Cardiopulmonary Bypass Michael J. Davies, FRCSa, Khan Nguyen, MDa,

Left ventricular volume and ejection fraction assessment with transoesophageal echocardiography: 2D vs 3D imaging B. Cowie, R. Kluger, M. Kalpokas British.

Comparative study of topical anaesthesia with lidocaine 2% vs levobupivacaine 0.75% in cataract surgery S.A. Fernández, E. Dios, J.C. Diz British Journal.

A. Mekontso-Dessap, L. Tual, M. Kirsch, G. D'Honneur, D. Loisance, L

Ventricular volume, chamber stiffness, and function after anteroapical aneurysm plication in the sheep Mark B. Ratcliffe, MDa, Arthur W. Wallace, MD,

Role of myocardial hypertrophy on acute and chronic right ventricular performance in relation to chronic volume overload in a porcine model: Relevance.

Himanshu J. Patel, MDa, James J. Pilla, PhDa, David J

Predicting fluid responsiveness in patients undergoing cardiac surgery: functional haemodynamic parameters including the Respiratory Systolic Variation.

U. Eichenberger, C. Giani, S. Petersen-Felix, T. Graven-Nielsen, L

George Berberian, MD, T. Alexander Quinn, MS, Joshua P

Effect of phenylephrine on the haemodynamic state and cerebral oxygen saturation during anaesthesia in the upright position P.F. Soeding, S Hoy, G Hoy,

Chronic pain in adults after thoracotomy in childhood or youth

J. Craig Hartman et al. BTS 2018;3:

Impact of echocardiography on patient management in the intensive care unit: an audit of district general hospital practice R. M. L'E. Orme, M.P. Oram,

Differential impacts of modes of anaesthesia on the risk of stroke among preeclamptic women who undergo Caesarean delivery: a population-based study

Diagnosis of vertebral canal haematoma by myelography and spiral computer tomography in a patient with an implantable cardioverter-defibrillator contraindicating.

J.E. Spiegel, A. Vasudevan, Y. Li, P.E. Hess

P Schramm, K Engelhard, A Scherhag, F Schier, C Werner

Does hyperbaric oxygen have positive effect on neurological recovery in spinal–epidural haematoma?: a case report Z. Wajima, S. Aida British Journal.

Effects of remifentanil on cardiovascular and bispectral index responses to endotracheal intubation in severe pre-eclamptic patients undergoing Caesarean.

Minimally invasive intraoperative estimation of left-ventricular end-systolic elastance with phenylephrine as loading intervention† C.A. Boly, K.D. Reesink,

Xenon produces minimal haemodynamic effects in rabbits with chronically compromised left ventricular function B. Preckel, W. Schlack, T. Heibel, H. Rütten

Sepsis and the heart British Journal of Anaesthesia

Reduction of vasopressor requirement by hydrocortisone administration in a patient with cerebral vasospasm J.A. Alhashemi British Journal of Anaesthesia

Haemodynamic effects of oxytocin given as i. v

Effects of acute left ventricular unloading on right ventricular function in normal and chronic right ventricular pressure-overloaded lambs Boudewijn.

Administration of bovine polymerized haemoglobin before and during coronary occlusion reduces infarct size in rabbits‡ C. Rempf, T. Standl, K. Schenke,

Takamatsu I. , Ozaki M. , Kazama T. British Journal of Anaesthesia

Rocuronium dose-dependently suppresses the spectral entropy response to tracheal intubation during propofol anaesthesia M. Kawaguchi, I. Takamatsu, T.

Unconscious learning during surgery with propofol anaesthesia†

Hypothermic responses to infection are inhibited by α2-adrenoceptor agonists with possible clinical implications S. Tolchard, P.A. Burns, D.J. Nutt,

J. Craig Hartman et al. BTS 2018;3:

Milrinone Improves Pulmonary Hemodynamics and Right Ventricular Function in Chronic Pulmonary Hypertension Edward P Chen, Hartmuth B Bittner, R.Duane.

H.A. Leather, P.F. Wouters British Journal of Anaesthesia

Right ventricular–pulmonary arterial coupling in patients after repair of tetralogy of Fallot Heiner Latus, MD, Wolfhard Binder, MD, Gunter Kerst, MD,

Presentation transcript:

Differential effects of lumbar and thoracic epidural anaesthesia on the haemodynamic response to acute right ventricular pressure overload C Missant, P Claus, S Rex, P.F. Wouters British Journal of Anaesthesia Volume 104, Issue 2, Pages 143-149 (February 2010) DOI: 10.1093/bja/aep354 Copyright © 2010 The Author(s) Terms and Conditions

Fig 1 Increase in skin temperature after epidural injections in control animals and in animals with a TEA and LEA, respectively. The increase in skin temperature measured 30 min after epidural injection is presented as a mirrored bar plot. The vertebral column is indicated on the left side to represent all dermatomes from C4 (top) to L6 (bottom). An increase in skin temperature at a particular vertebral level is displayed as a mirror bar according to the scale indicated on top of the figure for each group separately. A temperature increase of >0.5°C was considered to indicate an effective block of the sympathetic nervous system at that particular level. British Journal of Anaesthesia 2010 104, 143-149DOI: (10.1093/bja/aep354) Copyright © 2010 The Author(s) Terms and Conditions

Fig 2 Right and left ventricular contractility during baseline, epidural anaesthesia, and acute PA occlusion in control animals and animals with a thoracic or lumbar epidural anaesthesia. The effects of epidural anaesthesia on the slope of the preload-recruitable stroke work relationship (Mw) (a and b) and the slope of the end-systolic pressure–volume relationship (Ees) (c and d) during baseline, epidural anaesthesia (EDA), and during acute PA occlusion (PA occlusion) in the left (LV) and right ventricle (RV). Values are presented as mean (sem). C, control animals; TEA, thoracic epidural anaesthesia; LEA, lumbar epidural anaesthesia; Ees, slope of the ESPVR; Mw, slope of the PRSW relationship; PA, pulmonary artery. *P<0.05 vs baseline; †P<0.05 vs EDA; ‡P<0.05 vs C. British Journal of Anaesthesia 2010 104, 143-149DOI: (10.1093/bja/aep354) Copyright © 2010 The Author(s) Terms and Conditions