Abstract
The sympathetic nervous system appears useful to wild animals in helping to mobilize energy stores and in facilitating escape from threatening situations. But, as Stone et al.1 suggest, such reactions may not be beneficial in anesthetized humans inasmuch as myocardial oxygen requirement may increase beyond supply. Do the adverse effects of stress now outweigh the benefits an intact sympathetic nervous system conveys? Should we ideally all be sympathectomized at birth, or at least preoperatively? Before answering this not so tongue-in-cheek question, we should first consider the details of the study by Stone et al.1 which has stimulated this question.
Keywords
- Sympathetic Nervous System
- Ischemic Episode
- Beta Blocking Drug
- Maintain Blood Flow
- Inadequate Anesthesia
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Permission requested for reprint from Anesthesiology (68:482–484, 1988).
This is a preview of subscription content, access via your institution.
Buying options
Preview
Unable to display preview. Download preview PDF.
References
Stone JG, Foex P, Sear JW, Johnson LL, Khambatta HJ, Triner L. Anesthesiology 68:495–500,1988
Flacke JW, Bloor BC, Flacke WE, Wong D, Dazza S, Stead SW, Laks H. Anesthesiology 67:909–917,1987
Ghignone M, Calvillo O, Quintin L. Anesthesiology 67:901–908,1987
Yeager MP, Glass DD, Neff RK, Brinck-Johnsen T. Anesthesiology 66:729–736, 1987
Roizen MF, Lampe GH, Benefiel DJ, Sohn YJ, Lichtor JL, Smith JS, Stoney RJ, Ehrenfeld WK, Goldstone JS, Reilly LM, Thisted RA, Eger EI, Hamilton WK. Anesthesiology: 67:A1, 1987
Bland JHL, Lowenstein E. Anesthesiology 45:287–293, 1976
Klassen GA, Bramwell RS, Bromage PR, Zborowska-Sluis DT. Anesthesiology 52:8–15, 1980
Maroko DR, Braunwald E. Ann Intern Med 79:720–733, 1973
Norris RM, Clarke ED, Sammel NL, Smith WM, Williams B. Lancet 2:907–909, 1978
Levine JD, Dardick SJ, Roizen MF, Helms C, Basbaum AI. J Neurosci 6:3423–3429, 1986
Feigl EO. Circulation 76:737–745, 1987
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Kluwer Academic Publishers
About this chapter
Cite this chapter
Roizen, M.F. (1990). Should We All Have a Sympathectomy at Birth? Or at Least Preoperatively?. In: Stanley, T.H., Sperry, R.J. (eds) Anesthesiology and the Heart. Developments in Critical Care Medicine and Anesthesiology, vol 23. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1966-2_24
Download citation
DOI: https://doi.org/10.1007/978-94-009-1966-2_24
Publisher Name: Springer, Dordrecht
Print ISBN: 978-0-7923-0634-4
Online ISBN: 978-94-009-1966-2
eBook Packages: Springer Book Archive