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Initial experience with iv ketamine infusion for treatment of post sternotomy pain in a patient with a total artificial heart
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نویسنده
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maher d.p. ,loyferman r. ,yumul r. ,louy c.
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منبع
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pain physician - 2015 - دوره : 18 - شماره : 3 - صفحه:E425 -E428
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چکیده
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The implantation of total artificial hearts (tahs) via midline sternotomy for the treatment of severe biventricular cardiac dysfunction is associated with complex postoperative pain management. ketamaine increases blood pressure by raising sympathetic outflow and cardiac ouput; however,ketamine is a direct vasodilator on isolated arterial tissues. in the setting of a tah with a mechanically fixed cardiac output,a ketamine infusion for postoperative pain control has the potential to decrease blood pressure due to direct arterial vasodilation. we present the initial experience with a ketamine infusion in a patient with a tah with minimal observed decreases in blood pressure and significantly improved postoperative pain. © 2015,american society of interventional pain physicians. all rights reserved.
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کلیدواژه
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Hypotension; Ketamine; Mechanical circulation; Postoperative pain; Poststernotomy pain; Total artificial heart; Vasodilation
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آدرس
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cedars-sinai medical center,los angeles,ca, United States, cedars-sinai medical center,los angeles,ca, United States, cedars-sinai medical center,los angeles,ca, United States, cedars-sinai medical center,los angeles,ca, United States
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Authors
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