加压素治疗牙科全麻患者ace抑制剂或arb诱导的难治性低血压:两例报告

Q3 Medicine

Anesthesia progress Pub Date : 2022-09-01 DOI:10.2344/anpr-69-02-06

Caitlin M Waters, Kristen Pelczar, Edward C Adlesic, Paul J Schwartz, Joseph A Giovannitti

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引用次数: 1

摘要

两例报告显示，在口腔手术全身麻醉前，血管紧张素转换酶抑制剂(ACEI)或血管紧张素受体阻滞剂(ARB)治疗难治性低血压的使用加压素。两名患者均在门诊牙科诊所接受治疗，并在接受插管全身麻醉前24小时内服用高血压ACEI或ARB药物。术中出现传统方法难以治疗的持续性深度低血压。然而，ACEI或arb诱导的难治性低血压在给予加压素的情况下得到了成功的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

ACE-Inhibitor or ARB-Induced Refractory Hypotension Treated With Vasopressin in Patients Undergoing General Anesthesia for Dentistry: Two Case Reports.

Two case reports present the use of vasopressin for treating refractory hypotension associated with continued angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) therapy prior to general anesthesia for oral surgery. Both patients were treated in an ambulatory dental surgery clinic and took either their ACEI or ARB medication for hypertension within 24 hours prior to undergoing an intubated general anesthetic. Persistent profound hypotension was encountered intraoperatively that was refractory to treatment with traditional methods. However, the ACEI- or ARB-induced refractory hypotension was successfully managed with the administration of vasopressin.

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来源期刊

Anesthesia progress Medicine-Medicine (all)

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Anesthesia Progress is a peer-reviewed journal and the official publication of the American Dental Society of Anesthesiology. The journal is dedicated to providing a better understanding of the advances being made in the art and science of pain and anxiety control in dentistry.