Indications and Uses of Intravenous Nitroglycerin During Cardiac Surgery

Curling, Patrick H.; Kaplan, Joel A.
May 1982
Angiology;May1982, Vol. 33 Issue 5, p302
Academic Journal
This article focuses on indications and uses of intravenous nitroglycerin during cardiac surgery. Since the release of commercially prepared intravenous nitroglycerin (NTG) by the U.S. Food and Drug Administration this year, interest in and use of this form of the drug is growing. In this article current indications and usage of intravenous NTG during the preoperative period, induction and maintenance of anesthesia, cardiopulmonary bypass, and in the postoperative period. The drug has been shown to be extremely valuable when patients receiving it have been titrated to physiologically measured end-points by the use of a pulmonary artery catheter. With improvements of surgical and anesthetic techniques including the use of intravenous NTG, hospital mortality at Emory University School of Medicine since 1976 has been 0.8%.


Related Articles

  • Kardiorelax 2011 -- petidenn� dotazn�kov� studie svalov� relaxace behem kardiochirurgick�ch v�konu v Cesk� republice. Roman, H�jek; Petr, Ad�mek; Leo, Derych; Michal, Hor�cek; Pavel, Jehlicka; Vladim�r, Kamen�k; Mari�n, Leitgeb; Jir�, Mokrej�; Hynek, R�ha; Jindrich, Samek; Tom�, Schichel; Zdenek, Turek; Tom�, Vanek // Anaesthesiology & Intensive Medicine / Anesteziologie a Intenziv;Feb2012, Vol. 23 Issue 1, p14 

    Objective: To obtain data about the use of neuromuscular blocking agents (NMBAs) during general anaesthesia in adult patients undergoing cardiac surgery in the Czech Republic. Design: A five-day, prevalence, questionnaire study. Setting: All cardiac anesthesia departments that registered before...

  • Anesthesia for robotic cardiac surgery: An amalgam of technology and skill. Chauhan, Sandeep; Sukesan, Subin // Annals of Cardiac Anaesthesia;May2010, Vol. 13 Issue 2, p169 

    The surgical procedures performed with robtic assitance and the scope for its future assistance is endless. To keep pace with the developing technologies in this field it is imperative for the cardiac anesthesiologists to have a working knowledge of these systems, recognize potential...

  • Peri-operative comparison of different transient external shunt techniques in bidirectional cavo-pulmonary shunt. Tireli, Emin; Basaran, Murat; Kafali, Eylul; Harmandar, Bugra; Camci, Emre; Dayioglu, Enver; Onursal, Ertan // European Journal of Cardio-Thoracic Surgery;Apr2003, Vol. 23 Issue 4, p518 

    Objective: In patients with functional single ventricular physiology, the avoidance of cardiopulmonary bypass offers many advantages including earlier extubation, decreased necessity of inotropic support, improved hemodynamical status and reduced likehood of post-operative prolonged pleural...

  • Intraoperative validation of a new system for invasive continuous cardiac output measurement. D'Ancona, Giuseppe; Parrinello, Matteo; Santise, Gianluca; Biondo, Domenico; Pirone, Francesco; Sciacca, Sergio; Turrisi, Marco; Arcadipane, Antonio; Pilato, Michele // Intensive Care Medicine;May2009, Vol. 35 Issue 5, p943 

    Although bolus thermodilution technique for cardiac output (CO) measurement has widespread acceptance, new systems are currently available. We evaluated a continuous CO system (TruCCOMS, Aortech International Inc.) that operates on the thermal conservation principle and we compared it with the...

  • Dexmedetomidine controls junctional ectopic tachycardia during Tetralogy of Fallot repair in an infant. LeRiger, Michelle; Naguib, Aymen; Gallantowicz, Mark; Tobias, Joseph D. // Annals of Cardiac Anaesthesia;Jul-Sep2012, Vol. 15 Issue 3, p224 

    Dexmedetomidine is a highly selective α2-adrenergic agonist approved for short-term sedation and monitored anesthesia care in adults. Although not approved for use in the pediatric population, an increasing number of reports describe its use in pediatric patients during the intraoperative...

  • Postoperative outcome in awake, on-pump, cardiac surgery patients. Porizka, Michal; Stritesky, Martin; Semrad, Michal; Dobias, Milos; Dohnalova, Alena // Journal of Anesthesia;2011, Vol. 25 Issue 4, p500 

    Purpose: Thoracic epidural anesthesia (TEA) alone or combined with general anesthesia (TEA-GA) has been assumed to improve early postoperative outcome in cardiac surgery. The aim of our study was to investigate data of early and late postoperative outcome results of awake TEA patients undergoing...

  • Cerebral Protective Effect of Magnesium During CABG Assessed by Cerebral Oximetry and Cognitive P300 Visual Evoked Potentials. Hafez, Hoda S.; Abdelkader, Ann A.; Elagaty, Ahmed E.; Bakry, Mohamed A.; Nawito, Amani M.; Abd Elwahab, Yaser M. // World Journal of Medical Sciences;2013, Vol. 8 Issue 4, p339 

    Cardiac-surgery-associated neurological complications and cognitive deficits are preoccupations in cardiac surgery because of their frequency, variety and long-term impact. The study aimed at evaluation of the efficacy of intravenous magnesium sulphate as a neuroprotective agent in patients...

  • Management of the Elderly Cardiac Surgical Patient: Neurological Sequelae. Infeld, Bernard // Heart, Lung & Circulation;Sep2004 Supplement 3, Vol. 13, pS19 

    The main neurological complications after cardiac surgery and non-surgical cardiac procedures include stroke, encephalopathy and neuropsychological deficits. Embolism from aortic atherosclerosis is the most common pathogenic mechanism. This article reviews the incidence, risk factors, and...

  • Aldo R. Castañeda. Vida, Vladimiro L.; Sade, Robert M.; Stellin, Giovanni // Cardiology in the Young;Jun2006, Vol. 16 Issue 3, p221 

    The article profiles cardiac surgeon Aldo R. Castañeda in Central America. He was born in Nervi, close to Genoa, Italy on July 17, 1930. He made remarkable contributions to pediatric cardiac surgery and created over 400 scientific articles and two books. In addition, he was also devoted to a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics