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The long-term postoperative trinitroglycerin hypotension in normal perfusion pressure breakthrough syndrome
Authors:Orsi P  Visentin P P  Salvati M  Mastronardi L  Ferrante L
Affiliation:Servizio di Anestesia, Rianimazione e Terapia Intensiva, Policlinico Umberto I, Roma, Italy.
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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