![Refractory Hypotension During Combined General and Epidural Anaesthesia in a Patient on Tricyclic Antidepressants.](/assets/artwork/1x1-42817eea7ade52607a760cbee00d1495.gif)
![Refractory Hypotension During Combined General and Epidural Anaesthesia in a Patient on Tricyclic Antidepressants.](/assets/artwork/1x1-42817eea7ade52607a760cbee00d1495.gif)
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Refractory Hypotension During Combined General and Epidural Anaesthesia in a Patient on Tricyclic Antidepressants.
Anaesthesia and Intensive Care 2006, Feb, 34, 1
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- 22,00 kr
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- 22,00 kr
Publisher Description
SUMMARY We report a case of refractory hypotension that occurred after epidural injection of local anaesthetic, in a patient who was receiving tricyclic antidepressant therapy and was under general anaesthesia. The patient failed to respond to repeated injections of appropriate doses of sympathomimetics, but did respond to high-dose catecholamine infusions. We suggest that epidural anaesthesia should be used with care when combined with general anaesthesia for patients on long-standing tricyclic antidepressant therapy. If refractory hypotension should occur in such patients, the use of direct-acting vasoconstrictors such as noradrenaline should be considered.
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