Affordable Access

deepdyve-link
Publisher Website

Bilateral femoral artery compression to increase organ perfusion during intraoperative hypotension

Authors
  • Rajab, Taufiek Konrad
  • Schmitto, Jan Dieter1, 2, 3, 4, 5
  • 1 Department of Surgery
  • 2 Brigham and Women’s Hospital
  • 3 Harvard Medical School
  • 4 Department of Cardiac, Thoracic and Vascular Surgery
  • 5 Hannover Medical School
Type
Published Article
Journal
Medical Hypotheses
Publisher
Elsevier
Publication Date
Jan 01, 2014
Accepted Date
Mar 16, 2014
Identifiers
DOI: 10.1016/j.mehy.2014.03.021
Source
Elsevier
License
Unknown

Abstract

Intraoperative hypotension is associated with adverse outcomes. The preferred treatment for intraoperative hypotension is to address its cause. In the interim the blood pressure can be supported by the anesthesia team with volume resuscitation and vasopressors.Additionally, preferential perfusion of vital organs, such as the myocardium and cerebrum, at the expense of non-vital vascular beds, such as the extremities, is desirable. In the state of shock, the flight-or-flight response will ensure perfusion of the extremities in order to prepare the organism for a physical confrontation. However, in the context of intraoperative hypotension this response is counter-productive. Therefore we propose bilateral femoral artery compression as a new technique to increase vital organ perfusion during intraoperative hypotension. This results in shunting of blood flow from the legs and towards the vital organs. Bilateral femoral artery compression can be employed by the surgical team to immediately improve blood pressure until other counter-measures against intraoperative hypotension take effect.

Report this publication

Statistics

Seen <100 times