The effect of anaesthesia on changes in blood pressure and plasma cortisol levels induced by cementation with methylmethacrylate

The effects of cementation on arterial blood pressure, arterial oxygen tension and plasma levels of cortisol were studied in 30 patients with femoral neck fracture treated with the Thompson prosthesis in spinal (n = 15) or general (n = 15) anaesthesia. In spinal anaesthesia hypotension of clinical i...

Full description

Saved in:
Bibliographic Details
Published inActa anaesthesiologica Scandinavica Vol. 30; no. 3; p. 247
Main Authors Svartling, N, Lehtinen, A M, Tarkkanen, L
Format Journal Article
LanguageEnglish
Published England 01.04.1986
Subjects
Aged
Anesthesia, Endotracheal
Anesthesia, Spinal
Bupivacaine
Female
Femoral Neck Fractures - surgery
Hip Prosthesis
Humans
Hydrocortisone - blood
Hypotension - chemically induced
Hypoxia - chemically induced
Male
Methylmethacrylate
Methylmethacrylates - adverse effects
Nitrous Oxide
Online AccessGet more information

Cover

More Information
Summary:The effects of cementation on arterial blood pressure, arterial oxygen tension and plasma levels of cortisol were studied in 30 patients with femoral neck fracture treated with the Thompson prosthesis in spinal (n = 15) or general (n = 15) anaesthesia. In spinal anaesthesia hypotension of clinical importance was observed coincidentally with the use of methylmethacrylate, while the levels of plasma cortisol remained unchanged. A significant rise was noted in arterial blood pressure and plasma levels of cortisol after cementation in general anaesthesia. Arterial oxygen tension fell in both groups. These findings indicate that the hypotension frequently reported in connection with cementation is triggered by a complex mechanism which can be modified by the anaesthetic technique.
ISSN:0001-5172
DOI:10.1111/j.1399-6576.1986.tb02406.x