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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1989-12-22
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pubmed:abstractText |
Twenty patients requiring management of postoperative arterial hypertension following coronary artery bypass grafting (CABG) were randomly treated with either ketanserin (n = 10) or sodium nitroprusside (SNP) (n = 10). After surgery all patients were mechanically ventilated in the intensive care unit (F1O2:0.5; PEEP: +5 cm H2O). During the therapy with either drug F1O2 was adjusted to achieve normal blood oxygen tensions (F1O2 always greater than 0.3). Samples of arterial and mixed-venous blood were obtained simultaneously before administration of either drug and at each time point. Data acquisition followed over 12 h. Both drugs led to a significant decrease in arterial blood pressure, although 2 patients had to be withdrawn from the ketanserin group because there was no adequate decrease in systolic arterial pressure. A significant increase in heart rate was noted only in patients receiving SNP. In the SNP-treated patients F1O2 had to be increased because of a marked decrease in paO2, resulting in a significant increase in alveolar-arterial oxygen difference (A-aDO2). In 3 patients SNP had to be stopped because of an increase in intrapulmonary shunt (Qsp/Qt) more than 30%. No significant changes in Qsp/Qt, A-aDO2, or paO2 were seen in the ketanserin-treated patients.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0003-2417
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
519-24
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2686485-Blood Pressure,
pubmed-meshheading:2686485-Cardiac Output,
pubmed-meshheading:2686485-Coronary Artery Bypass,
pubmed-meshheading:2686485-Coronary Disease,
pubmed-meshheading:2686485-Ferricyanides,
pubmed-meshheading:2686485-Heart Rate,
pubmed-meshheading:2686485-Humans,
pubmed-meshheading:2686485-Hypertension,
pubmed-meshheading:2686485-Ketanserin,
pubmed-meshheading:2686485-Nitroprusside,
pubmed-meshheading:2686485-Oxygen,
pubmed-meshheading:2686485-Postoperative Complications,
pubmed-meshheading:2686485-Pulmonary Circulation,
pubmed-meshheading:2686485-Pulmonary Wedge Pressure,
pubmed-meshheading:2686485-Randomized Controlled Trials as Topic,
pubmed-meshheading:2686485-Vasoconstriction
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pubmed:year |
1989
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pubmed:articleTitle |
[Ketanserin versus sodium nitroprusside in the treatment of hypertension following coronary surgery. Effect on intrapulmonary right and left shunt and arterial oxygenation].
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pubmed:affiliation |
Department of Anesthesiologie, Katholieke Universiteit Leuven, Belgien.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
English Abstract,
Randomized Controlled Trial
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