دورية أكاديمية
أعرض في EDS

Effect of different anesthesia depths on perioperative heart rate variability and hemodynamics in middle-aged and elderly patients undergoing general anesthesia.

التفاصيل البيبلوغرافية
العنوان: Effect of different anesthesia depths on perioperative heart rate variability and hemodynamics in middle-aged and elderly patients undergoing general anesthesia.
المؤلفون: Zhou C; Department of Anesthesiology, Affiliated Hospital of Putian University, Putian, China., Huang X; Department of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China., Zhuo Z; Department of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China., Wu Q; Department of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China., Liu M; Department of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China., Li S; Department of Anesthesiology, The School of Clinical Medicine, Fujian Medical University, The First Hospital of PuTian City, No. 449, Nanmen West Road, Chengxiang District, Putian City, Fujian Province, 351100, China. lsryvpt@163.com.
المصدر: BMC anesthesiology [BMC Anesthesiol] 2024 Sep 06; Vol. 24 (1), pp. 312. Date of Electronic Publication: 2024 Sep 06.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968535 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2253 (Electronic) Linking ISSN: 14712253 NLM ISO Abbreviation: BMC Anesthesiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2001-
مواضيع طبية MeSH: Anesthesia, General*/methods , Heart Rate*/drug effects , Heart Rate*/physiology , Hemodynamics*/drug effects , Hemodynamics*/physiology, Humans ; Female ; Male ; Middle Aged ; Aged ; Stomach Neoplasms/surgery ; Anesthesia, Epidural/methods ; Blood Pressure/drug effects ; Blood Pressure/physiology ; Perioperative Period
مستخلص: Background: To analyze the effects of different anesthesia depths on perioperative heart rate variability and hemodynamics in middle-aged and elderly patients undergoing general anesthesia, and to provide a basis for clinical application.
Methods: A total of 111 patients with gastric cancer who were treated with epidural anesthesia combined with general anesthesia were selected as the study subjects, and the patients were randomly divided into group A, group B and group C. The bispectral index (BIS) was maintained by adjusting the infusion speed of anesthetics, the BIS of group A was maintained at 50 ~ 59, the BIS of group B was maintained at 40 ~ 49, and the BIS of group C was maintained at 30 ~ 39. The high-frequency power (HFP), low-frequency power (LFP), total power (TP), mean arterial pressure (MAP), heart rate (HR), diastolic blood pressure (DBP), and systolic blood pressure (SBP) were measured before anesthesia induction (T1), immediately after intubation (T2), 3 min after intubation (T3), and 6 min after extubation (T4). The cognitive function of the patients was evaluated before and 48 h after surgery.
Results: The HFP, LFP/HFP, TP, HR, DBP and SBP between the three groups at T1 ~ T3 are significantly difference from each other (P < 0.05). There were significant differences in spontaneous breathing recovery time, eye opening time and extubation time among group A, B and C groups, and group B had the lowest spontaneous breathing recovery time, eye opening time and extubation time (P < 0.05). There was no significant difference in the incidence of adverse reactions during anesthesia between the three groups. The cognitive function score of group B was significantly higher than that of group A and group C (P < 0.05).
Conclusions: BIS maintenance of 40 ~ 49 has little effect on perioperative heart rate variability and hemodynamics in middle-aged and elderly patients undergoing general anesthesia, which is helpful for postoperative recovery.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Depth of anesthesia; Geriatric general anesthesia surgery; Heart rate variability; Hemodynamics; Perioperative
تواريخ الأحداث: Date Created: 20240906 Date Completed: 20240907 Latest Revision: 20240910
رمز التحديث: 20240910
مُعرف محوري في PubMed: PMC11378510
DOI: 10.1186/s12871-024-02700-9
PMID: 39243005
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2253
DOI:10.1186/s12871-024-02700-9