General anesthesia in a patient with idiopathic orthostatic hypotension

Idiopathic orthostatic hypotension (formerly known as Shy-Drager syndrome) is a multiple system atrophy, which is characterized by autonomic dysregulation. Providing perioperative hemodynamic stability during narcosis is therefore a particular challenge. The effects of general anesthesia on systemic...

Full description

Saved in:
Bibliographic Details
Published inDer Anaesthesist Vol. 59; no. 2; p. 140
Main Authors Ionescu, I, Blanc-Groebe, I, Goetz, A E, Kubitz, J C
Format Journal Article
LanguageGerman
Published Germany 01.02.2010
Subjects
Aged
Anesthesia, General
Blood Volume - physiology
Cardiac Output - physiology
Catecholamines - therapeutic use
Hemodynamics - physiology
Humans
Male
Monitoring, Intraoperative
Parkinson Disease - complications
Prostatectomy
Shy-Drager Syndrome - complications
Shy-Drager Syndrome - drug therapy
Vascular Resistance
Online AccessGet full text

Cover

More Information
Summary:Idiopathic orthostatic hypotension (formerly known as Shy-Drager syndrome) is a multiple system atrophy, which is characterized by autonomic dysregulation. Providing perioperative hemodynamic stability during narcosis is therefore a particular challenge. The effects of general anesthesia on systemic vascular resistance and cardiac output in a patient with idiopathic orthostatic hypotension undergoing retropubic prostatectomy will be reported. In the case presented perioperative hemodynamic stability was achieved by aggressive volume therapy guided by global end-diastolic volume measurement and low-dose catecholamine therapy.
ISSN:1432-055X
DOI:10.1007/s00101-010-1675-0