| Autor: |
Kumar S., Ajeesh, Thomas, Cherush Willie, Oommen, Titu George, Xavier, Ann, Nair, Ashish Sreekumaran |
| Předmět: |
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| Zdroj: |
European Journal of Cardiovascular Medicine; 2024, Vol. 14 Issue 3, p26-32, 7p |
| Abstrakt: |
Background: Spinal anaesthesia can cause hypotension and bradycardia which can reduce the perfusion of vital organs, causing increased morbidity and mortality. Aim: To assess the spinal anaesthesia induced hemodynamic variations, ECG changes and postoperative outcome of normotensive & hypertensive patients. Methods: This prospective & observational study was conducted in the Department of Anaesthesiology from January 2014 to October 2015, at Tertiary Care centre among 60 patients who were elective cases of Inguinal Hernia and Hydrocoele posted for surgery. The patients included in the study were between 20 and 70 years and they belong to ASA grade I and II. Spinal anaesthesia using Levo-bupivacaine 0.5% was administered to the patients. Baseline values for heart rate, Blood pressure and ECG pattern was recorded preoperatively and was monitored to assess any variation in the intra operative and post operative period. The patients were followed up for the postoperative outcome/ morbidity- mortality after one month and at 6 months post-surgery. Results: In the intraoperative assessment, bradycardia occurred in 30.8% (n=8) of hypertensive patients and 29.6% (n=7) of normotensive patients. Additionally, fall in blood pressure was reported by 34.6% (n=9) of hypertensive patients and 11.77% (n=4) of normotensive patients. In the postoperative assessment, variations in systolic blood pressure were statistically significant in both hypertensive and normotensive patients. No new ECG changes were noted during follow-up. Postoperatively, five patients reported experiencing either headaches or urinary retention. Conclusion: Spinal anaesthesia induced fall in blood pressure is more common in hypertensive patients than in normotensive patients. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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