학술논문
Hemodynamic Response to Massive Bleeding in a Patient with Congenital Insensitivity to Pain with Anhidrosis.
Document Type
Case Study
Source
Subject
*CONGENITAL insensitivity to pain
*HEMODYNAMICS
*HEMORRHAGE
*ANHIDROSIS
*TOTAL hip replacement
*
*
*
*
Language
ISSN
2090-6382
Abstract
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. [ABSTRACT FROM AUTHOR]