par Vandesteene, Arlette ;Mouawad, Émile ;Noterman, Jacques
Référence Acta Anaesthesiologica Belgica, 31, SUPPL., page (85-92)
Publication Publié, 1980
Article révisé par les pairs
Résumé : In patients operated upon for cerebral aneurysm or angioma, the same basic method of anesthesia has been used. Premedication consisted of Thalamonal or diazepam. After induction with thiopentone, and curarisation with pancuronium and tracheal intubation, anesthesia was maintained with N 2O 70%, O 2 30% and enflurane 1%. Small doses of fentanyl or Thalamonal were given at the beginning of anesthesia, but no more within 30 minutes before starting controlled hypotension. Adjuvant drugs and methods to reduce intracranial pressure were also used, such as dexamethasone, mannitol and cerebro-spinal fluid subtraction. The approach and dissection of the vascular lesion was done under controlled hypotension with a sodium nitroprusside 0.01% solution. The mean dose of sodium nitroprusside to maintain a mean blood pressure at about 50 Torr was 1.37 mcg/kg/min.