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Risk of Hypotension During Apnea Testing
Arch Neurol 51:595-599, Jeret,J.S.&Benjamin,J.L., 1994
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Article Abstract
Only 43 examinations(61%)were well tolerated.During 27 examinations(39%) patients either developed marked hypotension(>/=15%drop in mean arterial pressure)(n=23)or required prophylactic vasopressor manipulation(n=4).Of the 27 examinations in which hypotension developed,14 were aborted,two were tolerated despite marked hypotension,four were tolerated after administration of prophylactic epinephrine(n=1)or dopamine hydrochloride (n=3),and seven were successfully completed after increased in the rate of dopamine infusion during the test.Hypotension can pose a significant risk to patients undergoing apnea testing.Constant monitoring of vital signs throughout the test is essential to its safe completion.
 
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apnea
arrhythmia,cardiac
asystole
cerebral death
cerebral death,apnea testing in
hypotension,systemic
mortality

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