Risk factors for intraoperative bradycardia during ear, nose, throat and maxillofacial surgery
| Autor: | Branislava Ivanovic, Biljana Milicic, Aleksandar Pavlovic, Milovan Dimitrijevic, Mirko Lakicevic, Tjaša Ivošević, Ksenija Stevanović, Marina Stojanović, Nevena Kalezic |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Maxillofacial Heart disease Oral Surgical Procedures Comorbidity Hypotension Controlled 0302 clinical medicine 030202 anesthesiology nose and throat surgery Medicine Anesthesia Intraoperative Complications 030223 otorhinolaryngology Nose Aged 80 and over Incidence Age Factors General Medicine Middle Aged 3. Good health medicine.anatomical_structure Female Intraoperative bradycardia Neurosurgery medicine.symptom Controlled hypotension Adult Bradycardia medicine.medical_specialty ear 03 medical and health sciences Humans Sex Distribution Aged Retrospective Studies business.industry Retrospective cohort study medicine.disease Surgery Logistic Models Blood pressure Risk factors Otorhinolaryngology Pharynx business Neck |
| Zdroj: | European Archives of Oto-Rhino-Laryngology |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | Intraoperative bradycardia (IOB) is one of the most common cardiac arrhythmias observed in clinical anaesthetic practice. Controlled hypotension, as a strategy of lowering patient's blood pressure during anesthesia has been practiced for decades in head and neck surgery. The aim of our study was to determine the incidence and the risk factors for intraoperative bradycardia in maxillofacial, ear, nose and throat surgery, as well as to determine whether controlled hypotension affects the occurrence of IOB. The retrospective study included 2304 patients who underwent maxillofacial, ear, nose or throat surgery. We studied the influence of: sex, age, comorbidity, type of surgery, duration of anesthesia and controlled hypotension on the occurrence of IOB. IOB was registered in 473 patients (20.5%). Patients with controlled hypotension had IOB significantly more often than patients without controlled hypotension (33.9 vs 15.1%) (p = 0.000). The significant predictors of IOB were: age (OR = 1.158; 95% CI = 1.068-1.256; p = 0.000), sex (OR = 0.786; 95% CI = 0.623-0.993; p = 0.043), ischemic heart disease (OR = 2.016; 95% CI = 1.182-3.441; p = 0.010); ear surgery (OR = 1.593; 95% CI = 1.232-2.060; p = 0.000), anesthesia duration, (OR = 1.006; 95% CI = 1.004-1.007; p = 0.000) and controlled hypotension (OR = 2.204; 95% CI = 1.761-2.758; p = 0.000). IOB is common in maxillofacial, ear, nose and throat surgery, particularly in male, older age and patients with ishemic heart disease. The ear surgery, longer anesthesia duration and controlled hypotension raise the risk for occurrence of IOB. |
| Databáze: | OpenAIRE |
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