THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
THE CARDIOVASCULAR RESPONSES AND THE EFFECT ON PULMONARY SHUNT DUE TO INFRARENAL AORTIC CROSS-CLAMPING AND DECLAMPING
Makoto KUGETakashi OGAWAShinichi NAKAOKoh SHINGUKaoru KUMADAKeiichirou MORI
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1984 Volume 4 Issue 3 Pages 335-340

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Abstract

The cardiovascular responses and the effect on pulmonary shunt due to aortic cross-clamping and declamping were studied in 5 patients undergoing reconstructive infrarenal aortic surgery.
Prior to aortic cross-clamping enflurane was used for decreasing cardiac afterload. Prior to aortic declamping patients recieved plasmanate solution at a rate which maintained pulmonary artery occlusion pressure (PAOP) 3-5mmHg above pre-clamped values.
No significant changes in cardiovascular responses were seen due to clamping. Declamping produced little changes in cardiovascular responses and which were similar to the pre-declamped state.
No significant changes were seen on the pulmonary shunt during the operation.

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© The Japan Society for Clinical Anesthesia
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