Skip Navigation

This Article
Right arrow Full Text (PDF)
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by STÜHMEIER, K. D.
Right arrow Articles by TARNOW, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by STÜHMEIER, K. D.
Right arrow Articles by TARNOW, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

British Journal of Anaesthesia, 1992, Vol. 69, No. 6 602-606
© 1992 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

ISOFLURANE DOES NOT INCREASE THE INCIDENCE OF INTRAOPERATIVE MYOCARDIAL ISCHAEMIA COMPARED WITH HALOTHANE DURING VASCULAR SURGERY

K. D. STÜHMEIER, M.D.1, B. MAINZER, M.D.1, W. SANDMANN, M.D.2 and J. TARNOW, M.D.1

1Abteilung für Klinische Anaesthesiologie, Heinrich-Heine Universitat Dusseldorf, Moorenstr. 5, D-4000 Dflsseldorf 1, F.R. Germany
2Abteilung für Gefässchirurgie und Nicrentransplantion, Heinrich-Heine Universität Düxsseldorf, Moorenstr. 5, D-4000 Dflsseldorf 1, F.R. Germany

We have studied the incidence of new intra-operative myocardial ischaemia (IMI), myocardial infarction (Ml) and cardiac death (CD) in 500 consecutive patients undergoing elective major non-cardiac vascular surgery. Patients were allocated randomly to receive either halothane (n = 226) or isoflurane (n = 274) as principal anaesthetic agent. Using real-time ST segment trend analysis (leads V5 and II) IMI (halothane 39%, isoflurane 38%), MI (halothane 1.3%, isoflurane 1.5%) and CD (halothane 0.4%, isoflurane 0.7%) did not differ significantly between the two groups. Twenty-three per cent of IMI episodes were related to haemodynamic disturbances, but unrelated to the type of surgery: 148 supra-aortic (IMI = 39%), 244 abdominal aortic (IMI = 41%) and 108 lower extremity revascularizations (IMI = 33%). We conclude that the choice of volatile anaesthetic agent does not influence cardiac morbidity or mortality in this type of patient


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.