Nieinwazyjna ocena układu krążenia przy użyciu urządzenia Nexfin pozwala na ocenę ryzyka wystąpienia hipotensji spowodowanej znieczuleniem podpajęczynówkowym

Ławicka, Marzena; Małek, Andrzej; Antczak, Damian; Wajlonis, Anita; Owczuk, Radosław

doi:10.5603/ait.2015.0048

Cited by 8 publications

(3 citation statements)

References 16 publications

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“…We measured electrocardiography (ECG), heart rate (HR; beats min), blood saturation (SpO 2 : percentages), non-invasive blood pressure (NIBP; mm Hg), sedation level on the Richmond Agitation and Sedation Scale (RASS), pain intensity level on the Visual Analogue Scale (VAS) and the Prince Henry Hospital Pain Score (PHHPS). Similarly to Ławicka et al [11], in measuring haemodynamic parameters using the non-invasive method, the ClearSight device was used to measure CO, CI, SVI, SVV, SVI and SVRI [11]. Data were recorded every hour.…”

Section: Methodsmentioning

confidence: 99%

Effect of dexmedetomidine or propofol sedation on haemodynamic stability of patients after thoracic surgery

Białka¹,

Copik²,

Karpe³

et al. 2018

Anaesthesiol Intensive Ther

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Background: Dexmedetomidine and propofol are commonly used sedative agents in non-invasive ventilation as they allow for straightforward arousal and are easily controllable to a relative degree. Moreover, dexmedetomidine is associated with a low risk of respiratory depression. However, both agents are associated with significant haemodynamic side effects. The primary aim of this study is to compare the influence of both drugs on haemodynamic effects in patients after thoracic surgical procedures receiving dexmedetomidine or propofol for non-invasive postoperative ventilation. Methods: A prospective, randomised, observational study conducted in a university hospital. Interventions: Continuous sedation with dexmedetomidine or propofol for six hours of postoperative non-invasive ventilation after thoracic surgery, with concomitant use of continuous epidural analgesia. results: A total of 38 patients (20 on dexmedetomidine and 18 on propofol) were included in the analysis. The primary findings of this study were that although the heart rate, along with the systolic and mean arterial blood pressure did not differ significantly between the groups (P = 0.87; P = 0.42; P = 0.13, respectively), diastolic arterial blood pressure was significantly higher in the propofol group (P = 0.02). A comparative analysis of epinephrine usage did not reveal significant differences between the groups. Although cardiac output (P = 0.36) and cardiac index (P = 0.36) analyses did not show significant differences between the groups, there is a clear tendency toward lower values of CO/CI in the group receiving propofol. While we also observed a similar tendency in the stroke volume index and stroke volume variation values, these differences did not reach statistical significance either (P = 0.16; P = 0.64, respectively). Despite systemic vascular resistance index values being higher in the propofol group, exceeding reference values, similarly, the difference between the groups was not significant (P = 0.36). Conclusions: The main finding of this study is that dexmedetomidine and propofol provide similar advantages in haemodynamic stability during short-term sedation for non-invasive ventilation after thoracic surgical procedures in patients receiving continuous epidural analgesia.

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Section: Methodsmentioning

confidence: 99%

Effect of dexmedetomidine or propofol sedation on haemodynamic stability of patients after thoracic surgery

Białka¹,

Copik²,

Karpe³

et al. 2018

Anaesthesiol Intensive Ther

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“…The overall incidence of hypotension was low, which could be attributed to a relatively low block and compensatory mechanisms in young subjects. In a recent study Lawicka et al (52) showed that in patients aged around 40-years of age ASA status 1 and 2, the incidence of hypotension with the spinal block around 6th thoracic segment was 39%. The incidence of hypotension was similar to our group H in which spinal block level was around Th4, although a much lower dose of hyperbaric bupivacaine was used in our study.…”

Section: Discussionmentioning

confidence: 99%

Comparison of haemodynamic parameters between the high and low spinal block in young healthy patients

Poredoš¹,

Novak-Jankovič²

2017

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Background. For some surgical procedures a higher sensory block is needed. However, it is complicated by a higher incidence of hypotension, more bradycardia and nausea and a higher use of vasoactive drugs. In elderly and obstetric population complications have been attributed to the decrease in cardiac output and systemic vascular resistance, especially in a high block (above Th6). The aim of our study was to find the incidence of hypotension and bradycardia after a spinal anaesthesia in young, healthy patients. As young patients compensate more, we aimed to find the difference in haemodynamic variables between the group with a high and the group with a low spinal block and the underlying mechanisms of hypotension. Methods. In a prospective, randomized study 44 American Society of Anaesthesiologists (ASA) 1 patients scheduled for knee arthroscopy under spinal anaesthesia were randomly distributed to a high (group H) and a low (group L) spinal block group. In a group H patients were placed into horizontal, whereas in a group L in 15-degree anti-Trendelenburg position immediately after the spinal block. Haemodynamic parameters were measured continuously noninvasively from 10 min before to 25 min after the spinal block using the CNAPTM device with the LiDCORapid monitor. Results. The differences in haemodynamic parameters between the groups were not statistically significant at all measured times despite a significant difference in the spinal block level (18.5 vs 13.3 dermatomes above S5, p<0.001) and a significant difference in haemodynamic variables

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“…Hypotension is a common hemodynamic side effect after spinal anesthesia (SA), which may lead to increased morbidity and mortality [1] . Since spinal anesthesia is easy to apply, it is preferred in lower abdominal, inguinal, urogenital, rectal, and lower extremity surgeries.…”

Section: Introductionmentioning

confidence: 99%

Value of Transthoracic Echocardiography in the Prediction of Post-spinal Anesthesia Hypotension

Gülaştı¹,

Gülaştı²,

Girgin³

et al. 2020

GKDA Derg

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INTRODUCTION: Spinal Anesthesia (SA) can lead to hypotension due to sympathic denervation, which causes a reduction in venous return to the heart as a result of peripheral vasodilation and redistribution of intravascular blood. Transthoracic Echocardiography (TTE) is a noninvasive and easy-to-use method to visualize cardiac reserve and functions. We aimed to evaluate whether parameters attained via transthoracic echocardiography are predictive of development of post-SA hypotension. METHODS: Forty-two patients between the ages of 18 and 80, who would undergo inguinal hernia operation under SA, with ASA physical status I-II and had no clinically recognized cardiovascular disease, were included in the study. TTE was performed for each patient 30 minutes before the operation, and measurements were recorded along with the intraoperative hemodynamic parameters. RESULTS: There was a statistically significant difference between the medians of left ventricle end-diastolic diameter (LVEDD) (cm) according to the status of post-SA hypotension (p=0.003).Accordingly, median LVEDD of patients who did not develop hypotension was significantly larger compared with that of those who had hypotension. Similarly, a statistically significant difference emerged between the medians of right ventricular (RV) tricuspid annular plane systolic excursion (TAPSE) (cm) showing RV global function according to the status of post-SA hypotension (p=0.001). Accordingly, patients who did not have hypotension had a larger RV-TAPSE median compared with that of those who had hypotension. The difference between the medians of RV isovolumetric relaxation time (RV-IVRT), which is one of the indicators of RV diastolic functions was again statistically significant according to the status of post-SA hypotension (p=0.025). DISCUSSION AND CONCLUSION: TAPSE, RV-IVRT and LVEDD measured via preoperative TTE, can be significant parameters to predict the development of post-SA hypotension.

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Nieinwazyjna ocena układu krążenia przy użyciu urządzenia Nexfin pozwala na ocenę ryzyka wystąpienia hipotensji spowodowanej znieczuleniem podpajęczynówkowym

Cited by 8 publications

References 16 publications

Effect of dexmedetomidine or propofol sedation on haemodynamic stability of patients after thoracic surgery

Effect of dexmedetomidine or propofol sedation on haemodynamic stability of patients after thoracic surgery

Comparison of haemodynamic parameters between the high and low spinal block in young healthy patients

Value of Transthoracic Echocardiography in the Prediction of Post-spinal Anesthesia Hypotension

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