Annals of Vascular Surgery

, Volume 3, Issue 3, pp 214–219 | Cite as

Neuroleptanesthesia versus thoracic epidural anesthesia for abdominal aortic surgery

  • F. Bonnet
  • C. Touboul
  • A. M. Picard
  • J. Vodinh
  • J-P. Becquemin
Original Articles


The hemodynamic consequences of abdominal aortic surgery with infrarenal crossclamping were studied in 21 patients randomized in two groups. In Group I (11 patients), neuroleptanesthesia was utilized, while Group II (10 patients) received thoracic epidural anesthesia at the T8-9 level. Hemodynamic measurements were performed using Swan-Ganz catheters during the surgical procedures in all patients, with special attention to the periods of clamping and unclamping of the abdominal aorta. The thoracic epidural anesthesia group was characterized by greater hemodynamic stability during surgery, while patients in the neuroleptanesthesia group had significant lability of blood pressure, heart rate, and cardiac index. Nevertheless, in the two groups of patients, it is suggested that cardiac function was unfitted to the tissue oxygen demand after unclamping of the aortic prosthesis because the saturation in oxygen of the mixed venous blood and an increase in arteriovenous difference in oxygen were documented. These results point out that, whatever the anesthesia technique, the critical period in abdominal surgery could be aortic unclamping.

Key words

Neuroleptanesthesia anesthesia abdominal aorta 


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Copyright information

© Annals of Vascular Surgery Inc. 1989

Authors and Affiliations

  • F. Bonnet
    • 1
    • 2
    • 3
  • C. Touboul
    • 1
    • 2
    • 3
  • A. M. Picard
    • 1
    • 2
    • 3
  • J. Vodinh
    • 1
    • 2
    • 3
  • J-P. Becquemin
    • 1
    • 2
    • 3
  1. 1.Department of AnesthesiaHôpital Henri MondorCreteilFrance
  2. 2.Department of Intensive CareHôpital Henri MondorCreteilFrance
  3. 3.Department of Vascular SurgeryHôpital Henri MondorCreteilFrance

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