Cargando…

Perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms

The tight control of blood pressure (BP) is mandatory during cerebral aneurysm coiling to minimize abrupt changes in the transmural pressure across the aneurysm and thereby decrease the risk of rupture. Critical times during these procedures when significant BP changes may occur include anesthetic i...

Descripción completa

Detalles Bibliográficos
Autores principales: Meyer, Thomas, Tobias, Joseph D.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876934/
https://www.ncbi.nlm.nih.gov/pubmed/20532109
http://dx.doi.org/10.4103/1658-354X.57880
_version_ 1782181737876422656
author Meyer, Thomas
Tobias, Joseph D.
author_facet Meyer, Thomas
Tobias, Joseph D.
author_sort Meyer, Thomas
collection PubMed
description The tight control of blood pressure (BP) is mandatory during cerebral aneurysm coiling to minimize abrupt changes in the transmural pressure across the aneurysm and thereby decrease the risk of rupture. Critical times during these procedures when significant BP changes may occur include anesthetic induction, endotracheal intubation, and emergence. Clevidipine is a recently introduced, rapidly acting dihydropyridine calcium channel antagonist. Its rapid metabolism by tissue and plasma esterases results in an effective half-life of 1 to 3 minutes. We present our preliminary experience with the use of clevidipine to control BP during the anesthetic care of three patients undergoing coiling of cerebral aneurysms in the interventional radiology suite.
format Text
id pubmed-2876934
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher Medknow Publications
record_format MEDLINE/PubMed
spelling pubmed-28769342010-06-07 Perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms Meyer, Thomas Tobias, Joseph D. Saudi J Anaesth Case Report The tight control of blood pressure (BP) is mandatory during cerebral aneurysm coiling to minimize abrupt changes in the transmural pressure across the aneurysm and thereby decrease the risk of rupture. Critical times during these procedures when significant BP changes may occur include anesthetic induction, endotracheal intubation, and emergence. Clevidipine is a recently introduced, rapidly acting dihydropyridine calcium channel antagonist. Its rapid metabolism by tissue and plasma esterases results in an effective half-life of 1 to 3 minutes. We present our preliminary experience with the use of clevidipine to control BP during the anesthetic care of three patients undergoing coiling of cerebral aneurysms in the interventional radiology suite. Medknow Publications 2009 /pmc/articles/PMC2876934/ /pubmed/20532109 http://dx.doi.org/10.4103/1658-354X.57880 Text en © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Meyer, Thomas
Tobias, Joseph D.
Perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms
title Perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms
title_full Perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms
title_fullStr Perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms
title_full_unstemmed Perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms
title_short Perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms
title_sort perioperative blood pressure management with clevidipine during coiling of cerebral artery aneurysms
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876934/
https://www.ncbi.nlm.nih.gov/pubmed/20532109
http://dx.doi.org/10.4103/1658-354X.57880
work_keys_str_mv AT meyerthomas perioperativebloodpressuremanagementwithclevidipineduringcoilingofcerebralarteryaneurysms
AT tobiasjosephd perioperativebloodpressuremanagementwithclevidipineduringcoilingofcerebralarteryaneurysms