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- I Ionescu, I Blanc-Groebe, A E Goetz, and J C Kubitz.
- Zentrum für Anästhesiologie und Intensivmedizin, Klinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Deutschland.
- Anaesthesist. 2010 Feb 1;59(2):140-3.
AbstractIdiopathic orthostatic hypotension (formerly known as Shy-Drager syndrome) is a multiple system atrophy, which is characterized by autonomic dysregulation. Providing perioperative hemodynamic stability during narcosis is therefore a particular challenge. The effects of general anesthesia on systemic vascular resistance and cardiac output in a patient with idiopathic orthostatic hypotension undergoing retropubic prostatectomy will be reported. In the case presented perioperative hemodynamic stability was achieved by aggressive volume therapy guided by global end-diastolic volume measurement and low-dose catecholamine therapy.
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