Abstract
We report our initial experience with three patients who underwent heart transplantations at National Taiwan University Hospital. Two had idiopathic dilated cardiomyopathy. One had ischemic heart disease. Anesthesia was induced with fentanyl, ketamine, etomidate and pancuronium. In addition to regular maintenance with fentanyl, diazepam and pancuronium, low doses of isoflurane were added for skin incision and sternotomy. The anesthetic courses were uneventful. Mild hypotension was noted in the first case after cardiopulmonary bypass, and was immediately corrected by increasing the preload and dosage of inotropes. Sinus tachycardia from the donor SA node was the predominant rhythm after cardiopulmonary bypass. Our experience agrees with other reports that anesthesia for cardiac transplantation is a relatively safe procedure under careful hemodynamic monitoring and pharmacological support. Aseptic techniques, adequate preload and hemostatic agents supply are the major concerns for anesthetists.
| Original language | English |
|---|---|
| Pages (from-to) | 61-66 |
| Number of pages | 6 |
| Journal | Acta Anaesthesiologica Sinica |
| Volume | 27 |
| Issue number | 1 |
| Publication status | Published - Mar 1989 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Cardiac transplantation at National Taiwan University Hospital : a review from the anesthesiologist's standpoint. / Huang, F. Y.; Sun, W. Z.; Chen, T. L.; Fan, S. Z.; Cheung, Y. F.; Lee, Y. T.; Chu, S. H.
In: Acta Anaesthesiologica Sinica, Vol. 27, No. 1, 03.1989, p. 61-66.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cardiac transplantation at National Taiwan University Hospital
T2 - a review from the anesthesiologist's standpoint.
AU - Huang, F. Y.
AU - Sun, W. Z.
AU - Chen, T. L.
AU - Fan, S. Z.
AU - Cheung, Y. F.
AU - Lee, Y. T.
AU - Chu, S. H.
PY - 1989/3
Y1 - 1989/3
N2 - We report our initial experience with three patients who underwent heart transplantations at National Taiwan University Hospital. Two had idiopathic dilated cardiomyopathy. One had ischemic heart disease. Anesthesia was induced with fentanyl, ketamine, etomidate and pancuronium. In addition to regular maintenance with fentanyl, diazepam and pancuronium, low doses of isoflurane were added for skin incision and sternotomy. The anesthetic courses were uneventful. Mild hypotension was noted in the first case after cardiopulmonary bypass, and was immediately corrected by increasing the preload and dosage of inotropes. Sinus tachycardia from the donor SA node was the predominant rhythm after cardiopulmonary bypass. Our experience agrees with other reports that anesthesia for cardiac transplantation is a relatively safe procedure under careful hemodynamic monitoring and pharmacological support. Aseptic techniques, adequate preload and hemostatic agents supply are the major concerns for anesthetists.
AB - We report our initial experience with three patients who underwent heart transplantations at National Taiwan University Hospital. Two had idiopathic dilated cardiomyopathy. One had ischemic heart disease. Anesthesia was induced with fentanyl, ketamine, etomidate and pancuronium. In addition to regular maintenance with fentanyl, diazepam and pancuronium, low doses of isoflurane were added for skin incision and sternotomy. The anesthetic courses were uneventful. Mild hypotension was noted in the first case after cardiopulmonary bypass, and was immediately corrected by increasing the preload and dosage of inotropes. Sinus tachycardia from the donor SA node was the predominant rhythm after cardiopulmonary bypass. Our experience agrees with other reports that anesthesia for cardiac transplantation is a relatively safe procedure under careful hemodynamic monitoring and pharmacological support. Aseptic techniques, adequate preload and hemostatic agents supply are the major concerns for anesthetists.
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UR - http://www.scopus.com/inward/citedby.url?scp=0024632897&partnerID=8YFLogxK
M3 - Article
C2 - 2657305
AN - SCOPUS:0024632897
VL - 27
SP - 61
EP - 66
JO - Asian Journal of Anesthesiology
JF - Asian Journal of Anesthesiology
SN - 2468-824X
IS - 1
ER -