Timing of hemodynamic changes during transnasal endoscopic surgery
Autor: | Mark S. Courey, Molly L. Naunheim, Katherine C. Yung |
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Rok vydání: | 2015 |
Předmět: |
Larynx
medicine.diagnostic_test business.industry Laryngoscopy Vital signs Hemodynamics medicine.disease Coronary artery disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Blood pressure Otorhinolaryngology Anesthesia Heart rate Medicine 030211 gastroenterology & hepatology 030223 otorhinolaryngology business Oxygen saturation (medicine) |
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 |
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