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[A patient with Shy-Drager syndrome managed under general anesthesia with thoracic epidural anesthesia]
Kenji Shigematsu1, Shinjiro Shono, Takamitsu Hamada
1Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka.
Abstract:
A 61-year-old man with Shy-Drager Syndrome underwent partial pulmonary lobectomy under general anesthesia combined with thoracic epidural anesthesia. The blood pressure decreased from 140/ 100 mmHg to 80/50 mmHg after thoracic epidural anesthesia. It increased after intravenous ephedrine. The blood pressure decreased when he was returned to the supine position postoperatively. It did not increase as expected with intravenous ephedrine. Intravenous etilefrine promptly raised the blood pressure. There was no postoperative cardiorespiratory complications.
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