Timing of hemodynamic changes during transnasal endoscopic surgery

Autor: Mark S. Courey, Molly L. Naunheim, Katherine C. Yung
Rok vydání: 2015
Předmět:
Zdroj: The Laryngoscope. 126:2047-2050
ISSN: 0023-852X
DOI: 10.1002/lary.25758
Popis: Objectives/Hypothesis Although considered less invasive and therefore less morbid than laryngoscopy under general anesthesia, prior research shows that transnasal flexible endoscopic (TNFE) procedures are associated with a significant increase in heart rate and blood pressure. The purpose of this review was to identify the most stimulating portion of the procedure to potentially provide a target for directed pharmacotherapy to ensure hemodynamic stability. Study Design Retrospective chart review. Methods Retrospective chart review of adult patients who underwent upper airway intervention in the larynx and trachea by TNFE. Vital signs recorded at 5-minute intervals throughout the procedure were examined and analyzed by Wilcoxon signed rank test and Wilcoxon rank sum test. Results For heart rate and systolic and diastolic blood pressure, the median change in value was 13 beats per minute (P
Databáze: OpenAIRE