Perioperative myocardial ischaemia

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Perioperative myocardial ischaemia.

The goal of anaesthetic management in patients with coronary artery disease (CAD) is the prevention of perioperative myocardial ischaemia. This approach is based on the assumption that sustained intraoperative ischaemia may precipitate postoperative myocardial infarction (MI) with its attendant complications. This presentation will review available information regarding perioperative ischaemia,...

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Detection of perioperative myocardial ischaemia

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Triggers of perioperative myocardial ischaemia and infarction.

Cardiac complications are a major cause of morbidity and mortality after non-cardiac surgery. 64 However, the exact nature of perioperative myocardial injury remains elusive and an area of continued debate and controversy. 64 If triggers of perioperative myocardial ischaemic events could be identi®ed, appropriately taken preventive measures might improve perioperative cardiac outcome. Identi®ca...

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Calcium channel inhibitors and perioperative myocardial ischaemia in cardiac surgery.

1. Rabey PG, Murphy PJ, Langton JA, Barker P, Rowbotham DJ. Effect of the laryngeal mask airway on lower oesophageal sphincter pressure in patients during general anaesthesia. British Journal of Anaesthesia 1992; 69: 346-348. 2. Swann DG, Spens H, Edwards SA, Chestnut RJ. Anaesthesia for gynaecological laparoscopy—comparison between the laryngeal mask airway and tracheal intubation. Anaesthesia...

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Preoperative myocardial ischaemia: its relation to perioperative infarction.

One hundred consecutive patients undergoing coronary artery bypass surgery were randomly allocated to a preoperative (24 h) intravenous infusion of isosorbide dinitrate (1.5-15 mg/hr) (50 patients) or to placebo (50 patients). The characteristics of the two groups were similar. Evidence of acute myocardial ischaemia was sought by continuous electrocardiographic Holter recordings and acute myoca...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1989

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03005325