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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1993-1-28
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pubmed:abstractText |
We have studied the incidence of new intraoperative myocardial ischaemia (IMI), myocardial infarction (MI) and cardiac death (CD) in 500 consecutive patients undergoing elective major non-cardiac vascular surgery. Patients were allocated randomly to receive either halothane (n = 226) or isoflurane (n = 274) as principal anaesthetic agent. Using real-time ST segment trend analysis (leads V5 and II) IMI (halothane 39%, isoflurane 38%), MI (halothane 1.3%, isoflurane 1.5%) and CD (halothane 0.4%, isoflurane 0.7%) did not differ significantly between the two groups. Twenty-three per cent of IMI episodes were related to haemodynamic disturbances, but unrelated to the type of surgery: 148 supra-aortic (IMI = 39%), 244 abdominal aortic (IMI = 41%) and 108 lower extremity revascularizations (IMI = 33%). We conclude that the choice of volatile anaesthetic agent does not influence cardiac morbidity or mortality in this type of patient.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0007-0912
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
69
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
602-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1467104-Adult,
pubmed-meshheading:1467104-Aged,
pubmed-meshheading:1467104-Aged, 80 and over,
pubmed-meshheading:1467104-Anesthesia, Intravenous,
pubmed-meshheading:1467104-Female,
pubmed-meshheading:1467104-Halothane,
pubmed-meshheading:1467104-Hemodynamics,
pubmed-meshheading:1467104-Humans,
pubmed-meshheading:1467104-Intraoperative Complications,
pubmed-meshheading:1467104-Isoflurane,
pubmed-meshheading:1467104-Male,
pubmed-meshheading:1467104-Middle Aged,
pubmed-meshheading:1467104-Myocardial Ischemia,
pubmed-meshheading:1467104-Postoperative Complications,
pubmed-meshheading:1467104-Prospective Studies,
pubmed-meshheading:1467104-Vascular Surgical Procedures
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pubmed:year |
1992
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pubmed:articleTitle |
Isoflurane does not increase the incidence of intraoperative myocardial ischaemia compared with halothane during vascular surgery.
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pubmed:affiliation |
Abteilung für Klinische Anaesthesiologie, Heinrich-Heine Universität Düsseldorf, F.R. Germany.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|