Recent cocaine use and the incidence of hemodynamic events during general anesthesia: A retrospective cohort study
| Autor: | Tiffany S. Moon, Agnes Kim, Taylor J. Pak, Michael X. Gonzales, Joshua J. Sun, Abu Minhajuddin, Pamela E. Fox, Babatunde O. Ogunnaike |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Minimum alveolar concentration Mean arterial pressure Beats per minute Hemodynamics Anesthesia General 03 medical and health sciences Postoperative Complications 0302 clinical medicine Cocaine Heart Rate 030202 anesthesiology Heart rate Humans Vasoconstrictor Agents Medicine Arterial Pressure Hospital Mortality 030212 general & internal medicine Antihypertensive Agents Retrospective Studies Intraoperative Care business.industry Incidence Incidence (epidemiology) Retrospective cohort study Length of Stay Middle Aged Anesthesiology and Pain Medicine Elective Surgical Procedures Case-Control Studies Anesthesia Hypertension Cocaine use Female Hypotension business |
| Zdroj: | Journal of Clinical Anesthesia. 55:146-150 |
| ISSN: | 0952-8180 |
| Popis: | Study objective To evaluate the intraoperative hemodynamics and medication requirements of cocaine-positive patients compared to matched cocaine-negative controls. Design Retrospective cohort study. Setting Public county hospital. Patients 821 patients undergoing general anesthesia. Measurements Incidence of hemodynamic events, defined by a mean arterial pressure of 105 mmHg or a heart rate of 100 beats per minute. Main results Cocaine-positive patients did not experience a higher incidence of hemodynamic events when compared with matched cocaine-negative patients. Cocaine-positive patients were not more likely to be administered vasopressors intraoperatively but did receive more anti-hypertensive agents. The minimum alveolar concentration of anesthetics used was similar between the two groups. Anesthesia duration, length of stay, and in-hospital mortality did not significantly differ between the two cohorts. Conclusions Cocaine-positive patients did not demonstrate more intraoperative hemodynamic events or adverse short-term outcomes as compared to matched cocaine-negative controls. |
| Databáze: | OpenAIRE |
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