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HENRIK H. BENDIXEN, MD

AMA Arch Surg. 1973;107(3):363.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In 1966, several groups suggested the use of pacemaker-induced hypotension as a method of reducing brain blood flow and hemorrhage when a cerebral aneurysm ruptured.^1-3 In an article in this issue of the ARCHIVES (See pp 374-378), Rovit and co-workers round off a series, previously published.⁴ They suggest that pacemaker-induced hypotension has become a useful tool in the surgical management of patients with cerebral aneurysms.

The threat of a rupture during operation for a cerebral aneurysm has led to the development of the following surgical and anesthetic approaches, which aim to reduce the risk of rupture: an anesthetic technique which not only avoids hypertension, momentary or continuous, but provides for controlled hypotension by posture and pharmacologic means; the control of brain volume by osmotic agents and arterial-blood carbon dioxide partial pressure regulation; sometimes a reduction of metabolism by moderate hypothermia; and always a deliberate and meticulous surgical technique. . . . [Full Text PDF of this Article]

Author Affiliations
San Diego, Calif

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