Risk factors for intraoperative hypotension during thyroid surgery

Kalezić, Nevena; Stojanović, Marina; Ladjević, Nebojša; Marković, Dejan; Paunović, Ivan; Palibrk, Ivan; Miličić, Biljana; Sabljak, Vera; Antonijević, Vesna; Ivanović, Branislava; Ugrinovic, Djordje; Živaljević, Vladan

doi:10.12659/msm.883869

Cited by 18 publications

(12 citation statements)

References 26 publications

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“…Lower functional level, older age, history of pneumonia, and operation time were associated with absolute hypotension during surgery. Relative and absolute hypotension were observed in 31.6% and 4.4% of the study population, respectively, which is consistent with previous studies ( 26 , 12 ). The cause of hypotension was multifactorial and may have been associated with an increased sensitivity to anesthetic drugs or decreased central adrenergic activity related to CP.…”

Section: Discussionsupporting

confidence: 93%

Perioperative Complications of Orthopedic Surgery for Lower Extremity in Patients with Cerebral Palsy

et al. 2015

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Because complications are more common in patients with cerebral palsy (CP), surgeons and anesthesiologists must be aware of perioperative morbidity and be prepared to recognize and treat perioperative complications. This study aimed to determine the incidence of and risk factors for perioperative complications of orthopedic surgery on the lower extremities in patients with CP. We reviewed the medical records of consecutive CP patients undergoing orthopedic surgery. Medical history, anesthesia emergence time, intraoperative body temperature, heart rate, blood pressure, immediate postoperative complications, Gross Motor Function Classification System (GMFCS) level, Cormack-Lehane classification, and American Society of Anesthesiologists physical status classification were analyzed. A total of 868 patients was included. Mean age at first surgery was 11.8 (7.6) yr. The incidences of intraoperative hypothermia, absolute hypotension, and absolute bradycardia were 26.2%, 4.4%, and 20.0%, respectively. Twenty (2.3%) patients had major complications, and 35 (4.0%) patients had minor complications postoperatively. The incidences of intraoperative hypothermia, absolute hypotension, and major postoperative complications were significantly higher in patients at GMFCS levels IV and V compared with patients at GMFCS levels I to III (P<0.001). History of pneumonia was associated with intraoperative absolute hypotension and major postoperative complications (P<0.001). These results revealed that GMFCS level, patient age, hip reconstructive surgery, and history of pneumonia are associated with adverse effects on intraoperative body temperature, the cardiovascular system, and immediate postoperative complications.

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Section: Discussionsupporting

confidence: 93%

Perioperative Complications of Orthopedic Surgery for Lower Extremity in Patients with Cerebral Palsy

et al. 2015

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“…Data was collected by trained anesthetists. the study tool includes demographic data of the study participants (age, sex, ASA physical status, BMI (kg/m 2 ), patient has any comorbidity, use of chronic medications), surgery-related data of the study participants (surgeon experience, planned procedure, urgency of the procedure, estimated blood loss, intraoperative positioning, duration of surgery), and anesthetic related data of the study participant (anesthetist experience, premedication, preoperative fluid intake, intravenous induction agent, analgesics used, muscle relaxant used, ETT size, number of intubation attempts, intraoperative fluid, intraoperative vasoactive agent).This tool was developed after searching various literatures related to this topic [ 2 , 10 , 5 , 11 , 12 , 13 ].…”

Section: Methodsmentioning

confidence: 99%

Early intraoperative hypotension and its associated factors among surgical patients undergoing surgery under general anesthesia: An observational study

Temesgen¹,

Fenta²,

Eshetie³

et al. 2021

Annals of Medicine and Surgery

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Background Early intraoperative hypotension (eIOH) is a common complication of general anesthesia and is significantly associated with postoperative morbidity and mortality. The incidence of eIOH was high, especially in resource-limited settings. Identifying the factors associated with the occurrence of eIOH might allow avoidance and planning of a timely treatment of it. Objective To assess the incidence of early intraoperative hypotension and its associated factors among surgical patients undergoing Surgical procedures under general anesthesia at XX Comprehensive Specialized Hospital, North-central Ethiopia, 2021. Methods A total of 424 surgical patients under general anesthesia were included in this prospective observational study. The data were collected by a structured questionnaire. Variables with p-values of less than 0.2 in the bivariable logistic regression were fitted to multivariable logistic regression. Data was presented in odds ratios with a 95% confidence interval. Descriptive statistics were used to summarize data. Results The incidence of early intra-operative hypotension (eIOH) was 21.2%. In this study older age (age≥ 60 years) (AOR: 2.063 (95% CI;1.194, 3.563)), ASA physical status (AOR: (II2.259 (95% CI;1.229, 4.153)), III(AOR: 2.810 (95% CI;1.319, 5.986)), a BMI of 25–29.9 kg/m2 (AOR: 2.098 (1.128, 3.901), a BMI of ≥30 kg/m2 (AOR: 3.090 (95% CI;1.324, 7.210)), emergency surgical procedures (AOR: 2.215 (95% CI;1.287, 3.810)), the estimated blood loss greater than 500 ml (AOR: 2.510 (95% CI;1.478, 4.261)) were found to be independent factors of eIOH. Conclusion This study revealed that the incidence of eIOH was high (21.2%). Older age, ASA II and III, BMI ≥25, emergency surgical procedures, and a significant amount of blood loss (EBL ≥500 ml) were the main predictors of an increased occurrence of eIOH.

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“…Vital signs such as the MAP, HR, and SpO 2 were recorded every 2 min during anesthesia induction (from sufentanil infusion to 5 min after endotracheal intubation). Other adverse reactions such as hypotension (MAP decreased over 20% or NIBP ≤ 90/60 mmHg) [ 19 , 20 ], hypertension (MAP increased over 20% or NIBP ≥ 140/90 mmHg) [ 21 , 22 ], bradycardia (HR ≤ 50 beats/min) [ 23 ], tachycardia (HR ≥ 100 beats/min) [ 24 ], hypoxemia (SpO 2 < 90%) [ 25 ], vomiting (ejecting the contents of the stomach through the mouth) [ 26 ], and aspiration (liquid or solid material into the trachea or lung) [ 27 ] during the induction period were also recorded.…”

Section: Methodsmentioning

confidence: 99%

Application via mechanical dropper alleviates sufentanil-induced cough: a prospective, randomized, single-blinded trial

Liu

Wang

et al. 2019

Trials

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BackgroundIt was reported that prolonging the injection time or diluting administration can reduce the incidence of opioid-induced cough. However, the incidence of sufentanil-induced cough (SIC) via a standardized infusion rate is unclear. A mechanical dropper is an infusion filtering device commonly used for intravenous degassing; it can also be used to administer special drugs due to its temporary storage and dilution effect. This study assesses the effectiveness of administration via mechanical dropper on SIC.MethodsTwo hundred patients undergoing general anesthesia were enrolled. Patients received sufentanil at a strength of 0.3 μg·kg− 1 either via T-connector (group C) or by mechanical dropper (group M) at 1 ml·s− 1. Cough severity was graded as none (0), mild (1–2), moderate (3–5), or severe (> 5), and the incidence of SIC was evaluated for 5 min after the start of sufentanil injection. Other adverse reactions such as hypotension, hypertension, bradycardia, tachycardia, hypoxemia, vomiting, and aspiration during the induction period of general anesthesia were also observed. The primary outcome was the incidence of SIC. The secondary outcomes were the severity of SIC and other adverse reactions.ResultsThe incidence of SIC in group M was significantly lower than that in group C (2% versus 21%, P = 0.000), and the prevalence of moderately severe coughing was also statistically different (none in group M versus 11% in group C, P = 0.001). However, there were no statistical differences in the incidence of other adverse reactions between two groups (P > 0.05).ConclusionSufentanil application via mechanical dropper can significantly alleviate the occurrence of SIC during the induction phase of total intravenous general anesthesia. This method is simple, safe, and reliable, and has wide prospective application for clinical use.Trial registrationChinese Clinical Trial Register, ChiCTR-IOR-17011561. Registered on 3 June 2017.

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Risk factors for intraoperative hypotension during thyroid surgery

Cited by 18 publications

References 26 publications

Perioperative Complications of Orthopedic Surgery for Lower Extremity in Patients with Cerebral Palsy

Perioperative Complications of Orthopedic Surgery for Lower Extremity in Patients with Cerebral Palsy

Early intraoperative hypotension and its associated factors among surgical patients undergoing surgery under general anesthesia: An observational study

Application via mechanical dropper alleviates sufentanil-induced cough: a prospective, randomized, single-blinded trial

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