Hypotension after induction of general anesthesia: occurrence, risk factors, and therapy. A prospective multicentre observational study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F44555601%3A13450%2F18%3A43894527" target="_blank" >RIV/44555601:13450/18:43894527 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61988987:17110/18:A1901W4A RIV/00216208:11130/18:10381322 RIV/00216208:11150/18:10381322 RIV/61989100:27240/18:10241434 a 3 dalších

Výsledek na webu

<a href="https://link.springer.com/article/10.1007%2Fs00540-018-2532-6" target="_blank" >https://link.springer.com/article/10.1007%2Fs00540-018-2532-6</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00540-018-2532-6" target="_blank" >10.1007/s00540-018-2532-6</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Hypotension after induction of general anesthesia: occurrence, risk factors, and therapy. A prospective multicentre observational study

Popis výsledku v původním jazyce

Background Hypotension after induction of general anesthesia (GAIH) is common in anesthesiology practice and can impact outcomes. Methods In this prospective multicenter, cross-sectional, observational study, the hypotension was defined as a decrease in mean arterial pressure of &gt; 30% compared to the first measurement in the operation theatre before general anesthesia (GA) induction. Blood pressure was measured immediately at the time of endotracheal intubation (T-ETI), at five (T-5) and 10 (T-10) minutes after. All subjects aged &gt; 18 years undergoing elective non-cardiac surgery under GA were included. The goals were description of GAIH occurrence, the association of GAIH with selected comorbidities, chronic medications, and anesthetics with GAIH, and the type and efficacy of interventions used to correct hypotension. Results Data from 661 subjects, whose GA was induced with propofol and sufentanil, were analyzed. In 36.5% of subjects, GAIH was observed at &gt;= 1 of the assessed time points. GAIH was present in 2.9% subjects at all time points. The probability of GAIH is raising with age, degree of hypertension at time of arrival to theatre and presence of diabetes. The type of volatile anesthetic was not associated with the occurrence of GAIH. The overall efficiency of interventions to correct hypotension was 94.4%. Bolus fluids were the most often used intervention and was 96.4% effective. Conclusion GAIH rate depends on age, degree of blood pressure decompensation prior the surgery, and presence of diabetes mellitus type II.

Název v anglickém jazyce

Hypotension after induction of general anesthesia: occurrence, risk factors, and therapy. A prospective multicentre observational study

Popis výsledku anglicky

Background Hypotension after induction of general anesthesia (GAIH) is common in anesthesiology practice and can impact outcomes. Methods In this prospective multicenter, cross-sectional, observational study, the hypotension was defined as a decrease in mean arterial pressure of &gt; 30% compared to the first measurement in the operation theatre before general anesthesia (GA) induction. Blood pressure was measured immediately at the time of endotracheal intubation (T-ETI), at five (T-5) and 10 (T-10) minutes after. All subjects aged &gt; 18 years undergoing elective non-cardiac surgery under GA were included. The goals were description of GAIH occurrence, the association of GAIH with selected comorbidities, chronic medications, and anesthetics with GAIH, and the type and efficacy of interventions used to correct hypotension. Results Data from 661 subjects, whose GA was induced with propofol and sufentanil, were analyzed. In 36.5% of subjects, GAIH was observed at &gt;= 1 of the assessed time points. GAIH was present in 2.9% subjects at all time points. The probability of GAIH is raising with age, degree of hypertension at time of arrival to theatre and presence of diabetes. The type of volatile anesthetic was not associated with the occurrence of GAIH. The overall efficiency of interventions to correct hypotension was 94.4%. Bolus fluids were the most often used intervention and was 96.4% effective. Conclusion GAIH rate depends on age, degree of blood pressure decompensation prior the surgery, and presence of diabetes mellitus type II.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30223 - Anaesthesiology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Anesthesia

ISSN

0913-8668

e-ISSN

—

Svazek periodika

32

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

JP - Japonsko

Počet stran výsledku

8

Strana od-do

673-680

Kód UT WoS článku

000446706900003

EID výsledku v databázi Scopus

2-s2.0-85050318646