By Dennis T. Mangano M.D., Ph.D (auth.), Theodore H. Stanley MD, W. Clayton Petty MD (eds.)
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Extra resources for Anesthesia and the Cardiovascular System: Annual Utah postgraduate course in anesthesiology 1984
Sokoll MD, Gergis SD, Mahta M, Kemmotsu 0, Rudd D: Haemodynamic effects of atracurium in surgical patients under nitrous oxide, oxygen and isoflurane anesthesia. Br J Anaesth 55:775, 1983. 40. Paton WD, Zaimis EJ: The methonium. Pharmacol Rev 4:219-253, 1952. 41. Boura AL, Green AF: The actions of bretylium: adrenergic neurone blocking and other effects. Br J Pharmacol 14:536-548, 1959. G. D. The purpose of this report is to update a previous, more detailed review of calcium entry blockers and the implications these drugs have on anesthesia practice.!
The need to initiate antihypertensive treatment prior to induction of anesthesia One normally assumes that unless the patient is in hypertensive crisis prior to induction of anesthesia, there is no indication to start specific antihypertensive treatment. However, if a severely hypertensive patient must be operated upon immediately, such treatment may be indicated. The patient must be adequately monitored: filling pr~ssures, right and left side cardiac output and systemic vascular resistance values should be available during such an emergency.
Br J Pharmacol 14:536-548, 1959. G. D. The purpose of this report is to update a previous, more detailed review of calcium entry blockers and the implications these drugs have on anesthesia practice.! 3- 11 Calcium Antagonists There are three structurally diverse calcium antagonists available at present (1983) in the United States: nifedipine (Procardia), verapamil (Isoptin, Calcan) and diltiazem (Cadiozem). Some of their pharmacologic characteristics are listed in Table I. Table I. v. v. d. d.