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Canadian Journal of Anesthesia, Vol 24, 20-34, Copyright © 1977 by Canadian Anesthesiologists' Society

Haemodynamic Changes Due to Clamping of the Abdominal Aorta

R. MELOCHE 1, T. POTTECHER 1, J. AUDET 1, O. DUFRESNE 1, and C. LePAGE 1

1 Department of Anaesthesia, Hôpital Notré-Dame, Montréal

Haemodynamic changes due to aortic cross-clamping were examined in 18 patients. It has been shown that the distal occlusion of the abdominal aorta induces an increased impedance to ejection. Because the mechanisms controlling the autoregulation of cardiac output and the circulatory reflexes are damped by anaesthesia, the augmentation of resistance is not followed by any increase in contractility or vasomotor tone and thus the cardiac output falls. Patients with chronic obstructive disease (Leriche) did not differ significantly from subjects with more acute obstruction (aneurysm), though the latter have a tendency to show more important changes in their haemodynamic response.

Note:

Resident in anaesthesia (Université Louis-Pasteur, Strasbourg, France).






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Copyright © 1977 by the Canadian Anesthesiologists' Society.