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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2010-5-3
pubmed:abstractText
Symptomatic vertebral hemangiomas (SVH) are difficult to treat and many therapeutic options, including surgery, radiotherapy, arterial embolization, and injection of methyl-methacrylate into hemagiomatous vertebrae have been reported. Alcohol ablation of vertebral hemangiomas is an effective management option; however, a literature search did not reveal any reports of anesthetic complications or hemodynamic instability during and report a series of four males and seven females and report hemodynamic variations observed at the time of injection of absolute ethanol under general anesthetic, for the treatment of SVH. The median age of the patients was 20 years (range, 10-36 years), and median weight was 45 kg (range, 30-70 kg). All patients developed transient hypotension and bradycardia at the time of alcohol injection (8-10 mL of absolute alcohol). No patient required intervention with vagolytics or vasopressors. It is likely that the administration of alcohol in small aliquots prevented any major consequences. Moreover, patients under general anesthesia are at lower risk than those receiving monitored sedation, with better control over hemodynamics.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1532-2653
pubmed:author
pubmed:copyrightInfo
Copyright 2009 Elsevier Ltd. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
810-1
pubmed:meshHeading
pubmed:year
2010
pubmed:articleTitle
Acute hemodynamic instability during alcohol ablation of symptomatic vertebral hemangioma: a prospective study.
pubmed:affiliation
Department of Neuroanesthesiology, Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India.
pubmed:publicationType
Journal Article