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Ketamine Anaesthesia for a Patient with the Shy‐Dräger Syndrome
Author(s) -
Saarnivaara L.,
Kautto U.M.,
Teräväinen H.
Publication year - 1983
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1983.tb01920.x
Subject(s) - medicine , ketamine , anesthesia , regional anaesthesia
A 58‐year‐old man with the Shy‐Dräger syndrome underwent laryngo‐ and tracheoscopies in general anaesthesia for evaluation of the larynx after tracheostomy following bilateral vocal cord paralysis. A profound fall in arterial pressure during anaesthesia induced with thiopentone has been demonstrated in previously reported patients with the Shy‐Dräger syndrome. In the present patient, anaesthesia induced with ketamine, maintained with nitrous oxide in oxygen and supplemented with fentanyl, diazepam and suxamethonium did not cause a fall in arterial pressure.