[Anesthesia management in implantation of baroreceptor stimulators].

Werner, T; Lebar, L; Wittmann, S; Keyser, A; Fischer, M; Schmidli, Jürg; Graf, B M; Zausig, Y A (2015). [Anesthesia management in implantation of baroreceptor stimulators]. Der Anaesthesist, 64(9), pp. 683-688. Springer 10.1007/s00101-015-0061-3

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Baroreceptor stimulators are novel implantable devices that activate the carotid baroreceptor reflex. This results in a decrease in activity of the sympathetic nervous system and inhibition of the renin-angiotensin-aldosterone system. In patients with drug-resistant hypertension, permanent electrical activation of the baroreceptor reflex results in blood pressure reduction and cardiac remodeling. For correct intraoperative electrode placement at the carotid bifurcation, the baroreceptor reflex needs to be activated several times. Many common anesthetic agents, such as inhalation anesthetics and propofol dampen or inhibit the baroreceptor reflex and complicate or even prevent successful placement. Therefore, a specific anesthesia and pharmacological management is necessary to ensure successful implantation of baroreceptor reflex stimulators.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Schmidli, Jürg

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-055X

Publisher:

Springer

Language:

German

Submitter:

Daniela Huber

Date Deposited:

11 Feb 2016 10:12

Last Modified:

04 Mar 2016 10:45

Publisher DOI:

10.1007/s00101-015-0061-3

PubMed ID:

26275386

Uncontrolled Keywords:

Anesthesia; Baroreceptor reflex; Carotid sinus; Electric stimulation therapy; Hypertension

BORIS DOI:

10.7892/boris.75382

URI:

https://boris.unibe.ch/id/eprint/75382

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