文章基本信息

标题：Hemodynamic Response to Massive Bleeding in a Patient with Congenital Insensitivity to Pain with Anhidrosis
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作者：Yuki Sugiyama ; Sayako Gotoh ; Masatoshi Urasawa 等
期刊名称：Case Reports in Anesthesiology
印刷版ISSN：2090-6382
出版年度：2018
卷号：2018
DOI：10.1155/2018/9593458
出版社：Hindawi Publishing Corporation
摘要：A patient with congenital insensitivity to pain with anhidrosis (CIPA) underwent revision of total hip arthroplasty under general anesthesia with only propofol. During surgery, neither elevation of stress hormones nor hemodynamic changes associated with pain occurred; however, when blood was rapidly lost, compensatory tachycardia was observed. Although patients with CIPA are complicated with autonomic disturbance due to dysfunction of postganglionic sympathetic fibers, this compensatory response indicated that the adrenal glands in patients with CIPA secrete catecholamine as part of a compensatory response during bleeding under general anesthesia.