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Application of Controlled Hypotension During Surgery for Spinal Metastasis.
Ma, Rong-Xing; Qiao, Rui-Qi; Xu, Ming-You; Li, Rui-Feng; Hu, Yong-Cheng.
Afiliação
  • Ma RX; 74768Tianjin Hospital, Tianjin, China.
  • Qiao RQ; Graduate School, 12610Tianjin Medical University, Tianjin, China.
  • Xu MY; 74768Tianjin Hospital, Tianjin, China.
  • Li RF; Graduate School, 12610Tianjin Medical University, Tianjin, China.
  • Hu YC; 74768Tianjin Hospital, Tianjin, China.
Technol Cancer Res Treat ; 21: 15330338221105718, 2022.
Article em En | MEDLINE | ID: mdl-35668701
With advances in tumor treatment, metastasis to bone is increasing, and surgery has become the only choice for most terminal patients. However, spinal surgery has a high risk and is prone to heavy bleeding. Controlled hypotension during surgery has outstanding advantages in reducing intraoperative bleeding and ensuring a clear field of vision, thus avoiding damage to important nerves and vessels. Antihypertensive drugs should be carefully selected after considering the patient's age, different diseases, etc, and a single or combined regimen can be used. Hypotension also inevitably leads to a decrease in perfusion of important organs, so the threshold of hypotension and the maintenance time of hypotension should be strictly limited, and the monitoring of important organs during the operation is particularly important. Information such as blood perfusion, blood oxygen saturation, cardiac output, and neurophysiological conduction potential changes should be obtained in a timely fashion, which will help to reduce the risk of hypotension. In short, when applying controlled hypotension, it is necessary to choose an appropriate threshold and duration, and appropriate monitoring should be conducted during the operation to ensure the safety of the patient.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Coluna Vertebral / Hipotensão / Hipotensão Controlada Tipo de estudo: Etiology_studies Limite: Humans Idioma: En Revista: Technol Cancer Res Treat Assunto da revista: NEOPLASIAS / TERAPEUTICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: China País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Coluna Vertebral / Hipotensão / Hipotensão Controlada Tipo de estudo: Etiology_studies Limite: Humans Idioma: En Revista: Technol Cancer Res Treat Assunto da revista: NEOPLASIAS / TERAPEUTICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: China País de publicação: Estados Unidos