Pre‐operative autonomic nervous system function – a missing link for post‐induction hypotension?

Autor: Frandsen, M. N., Mehlsen, J., Bang Foss, N., Kehlet, H.
Předmět:
Zdroj: Anaesthesia; Feb2022, Vol. 77 Issue 2, p139-142, 4p
Abstrakt: The value of more elaborate HRV measures as shown in Figure 1 in predicting intra-operative hypotension has mainly been studied in caesarean section where Chamchad et al. [11] were the first to show that pre-operative HRV could predict the occurrence of intra-operative hypotension during this procedure. Here, we want to bring attention to the relevance of pre-existing autonomic nervous system function in relation to the risk of post-induction hypotension and the potential underlying haemodynamic instability, based on pre-operative heart rate variability (HRV) studies. Keywords: anaesthesia; autonomic nervous system; heart rate variability; hemodynamic instability; post-induction hypotension EN anaesthesia autonomic nervous system heart rate variability hemodynamic instability post-induction hypotension 139 142 4 01/11/22 20220201 NES 220201 In recent years, there has been an increased focus on peri-operative hypotension, and several large studies have shown that intra-operative hypotension is prevalent and that both the degree and duration of peri-operative hypotension is associated with negative postoperative outcomes [1, 2]. [Extracted from the article]
Databáze: Complementary Index