Volatile anaesthetics and cardiac protection in abdominal surgery
| Autor: | Jasminka Kopić |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Methyl Ethers Cardiac function curve medicine.medical_specialty Cardiotonic Agents Croatia Population Myocardial Ischemia Cardiac index Risk Assessment Sevoflurane Ventricular Dysfunction Left Internal medicine Abdomen Troponin I medicine Humans education Colectomy Aged Aged 80 and over education.field_of_study business.industry Incidence General Medicine Perioperative Middle Aged anaesthesia anaesthetics inhalation intravenous ischaemic precoditioning myocardial ischaemia Cardiac surgery Treatment Outcome Anesthesia Anesthetics Inhalation cardiovascular system Cardiology Female Gases Colorectal Neoplasms business medicine.drug Abdominal surgery |
| Zdroj: | Wiener klinische Wochenschrift. 127:543-548 |
| ISSN: | 1613-7671 0043-5325 |
| DOI: | 10.1007/s00508-015-0819-2 |
| Popis: | Clinical studies have shown that sevoflurane is cardio-protective in cardiac surgery patients, but this effect is doubtful in general surgery patients. This study has researched the influence of sevoflurane on the perioperative cardiac function and the incidence of cardiac ischaemic events in abdominal surgical patients. Out of 80 patients scheduled for elective colorectal surgery, 42 received balanced sevoflurane-fentanyl anaesthesia, while 38 received intravenous midazolam-fentanyl anaesthesia. The cardiac index (CI) and cardiac function index (CFI) were measured by the PiCCO device, and Troponin I levels were measured at the beginning of surgery, as well as 4, 12 and 24 h afterwards. BNP was measured at the beginning of surgery, and 24 h afterwards. The data analysis was conducted using the Mann–Whitney nonparametric test, with statistical significance set at p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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