Summary
A case report of a 62-year-old man undergoing general anaesthesia for an inguinal herniorrhaphy is presented. Hypertension bronchospasm, tachycardia, and pulmonary oedema developed during the procedure and the patient was treated for left ventricular failure. Death occured 40 fy&urs ptistoperatively and a phaeochromocytoma on the right side was discovered at post-mortem examination. An account of the causes and significance of hypertension dur,i:ig anaesthesia is given: and a plan of treatment suggested for these cases in which the reason: for the pressor response is difficult to determine. This involves the assessment of ventilation and depth of anaesthesia, use of chlorpromazine and phentolamine. Attention is drawn to the possible need for additional cardiovascular supportive therapy.
Résumé
Nous avons présenté le cas d’un homme de 62 ans sounds à jne anesthésie généraie-pour une opération de cure de hernie inguinale. Au cours de l’opération, il a présenté de l’hypertension, un bronchospasme, de la tachycardie et de l’oedème pulmonaire, puis ce malade a été traité pour insuffisance venxiculaire gauche. II est mort quarante heures après l’opération et Ton a troué, à l’autopsie, un phéochromocytome droit. Nous avons émis des opinions sur 1es causes et la signification de l’hypertension au cours de l’anesthesie; nous suggérons une ligne de conduite pour traiter ces cas où il est difficile de préciser la aison de cette manifestation d’hypertension. Cela doit inclure une évaluation de la ventilation et de la profondeur de l’anesthésie et l’usage de la chlorpromazine et de la phentolamine. Nous attirons également l’attention sur la nécessité éventuelle d’appliquer une thérapeutique additionnelle pour supporter le système cardio/asculaire.
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Mcintyre, J.W.R. The significance and treatment of hypertension during anaesthesia. Canad. Anaesth. Soc. J. 8, 276–280 (1961). https://doi.org/10.1007/BF03028118
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DOI: https://doi.org/10.1007/BF03028118