The long-term postoperative trinitroglycerin hypotension in normal perfusion pressure breakthrough syndrome |
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Authors: | Orsi P Visentin P P Salvati M Mastronardi L Ferrante L |
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Affiliation: | Servizio di Anestesia, Rianimazione e Terapia Intensiva, Policlinico Umberto I, Roma, Italy. |
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Abstract: | The authors describe a case of normal perfusion pressure breakthrough syndrome, a catastrophic hemorrhage complicating surgery for cerebral arteriovenous malformations, due to chronic loss of autoregulation. Successful treatment was achieved with prolonged postoperative trinitroglycerin hypotension, associated with barbiturate-induced coma and artificial ventilation. |
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