Journal of The Showa Medical Association
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
SUDDEN HYPOTENSION DURING NEUROSURGERY
Nobuko NiwanoKazumasa YasumotoShiro MatsuzakiAkiyoshi Hosoyamada
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1979 Volume 39 Issue 1 Pages 71-74

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Abstract
A 52--year-old woman underwent operation for the removal of the cerebellar hemisphere cyst under general anesthesia with modified neuroleptanesthesia. Immediately after the absorption of tumor contents, blood pressure fell down. We succeeded the elevation of blood pressure with ephedrine and norepinephrine. Some causes of this hypotension were suggested, but we were not convinced what was the cause. So that we emphasize the importance of monitoring, for example ECG, continuous intraarterial blood pressure recording, intermittent arterial blood gases analysis, continuous auscultation of the heart sounds by esophageal stethoscope, Doppler ultrasonic detector and so forth.
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© The Showa Medical Association
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