[Anesthesia management in implantation of baroreceptor stimulators].

[Anesthesia management in implantation of baroreceptor stimulators].
Anaesthesist. 2015 Aug 15;
Authors: Werner T, Lebar L, Wittmann S, Keyser A, Fischer M, Schmidli J, Graf BM, Zausig YA
Abstract
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.
PMID: 26275386 [PubMed - as supplied by publisher]

Source: Der Anaesthesist - August 15, 2015 Category: Anesthesiology Authors: Werner T, Lebar L, Wittmann S, Keyser A, Fischer M, Schmidli J, Graf BM, Zausig YA Tags: Anaesthesist Source Type: research