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By Dennis T. Mangano M.D., Ph.D (auth.), Theodore H. Stanley MD, W. Clayton Petty MD (eds.)
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Additional resources for Anesthesia and the Cardiovascular System: Annual Utah postgraduate course in anesthesiology 1984
Day of surgery, 500 ml 5% glucose with 4-6 units of soluble insulin commenced. 500 ml of this solution is given 6 hourly. The magnitude of this dose of insulin is deci'ded on the adequacy of preoperative diabetic control. The same infusion rate is maintained throughout surgery and postoperatively. ). 6) Subsequent preoperative management is as for Type I. Premedication and beta adrenergic blockers It has been found that insulin treated diabetics were no more prone to hypoglycaemia or h¥poglycaemic unconsciousness than matched diabetic controls.
J Thorac Cardiovasc Surg 64:826-830, 1972. 25. Prys-Roberts C, Foex P, Biro GP, Roberts JG: Studies of anaesthesia in relation to hypertension. V: Adrenergic beta-receptor blockade. Br J Anaesth 45:671-680, 1973. 26. Reves JG, Kissin I, Lell WA, et al: Calcium entry blockers: Use and implications for anesthesiologists. Anesthesiology 57:504-518, 1982. 27. McAllister RG: Clinical pharmacokinetics of calcium channel antagonists. J Cardiovasc Pharmacol 4:S340-S345, 1982. 28. Reves JR, Barker S, Smith LR: Significance of nifedipine plasma levels and hemodynamic changes during anesthesia induction.
2. 3. Cocaine - Cocaine is a time honored local anesthetic and a potent vasoconstrictor. It is still a drug that is widely used among ENT and plastic surgery for hemostasis. Since cocaine inhibits neuronal reuptake of catecholamines, the peripheral sympathetic response is severely exaggerated. This is especially true when a combination of cocaine and epinephrine is used for hemostasis duri ng halothane anesthes i a. Hypertens ion, tachyca rdi a and ventricular arrhythmias are common when this combination is used.
Anesthesia and the Cardiovascular System: Annual Utah postgraduate course in anesthesiology 1984 by Dennis T. Mangano M.D., Ph.D (auth.), Theodore H. Stanley MD, W. Clayton Petty MD (eds.)