Document Detail


Analysis of blood pressure changes in patients undergoing total hip or knee replacement in spinal and general anesthesia.
MedLine Citation:
PMID:  22919998     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The aim of this study was to analyze hemodynamic changes in hypertensive and normotensive patients undergoing total hip or knee replacement in spinal and general anesthesia. Eighty patients who underwent total hip or knee replacement surgery in the period between July 2010 and February 2011 at Sveti Duh University Hospital were retrospectively evaluated. Seventeen patients underwent the operation in general anesthesia and 63 patients in regional anesthesia. They were allocated into groups of normotensive (n=24) or hypertensive patients (n=56). The anthropologic and hematologic parameters of normotensive and hypertensive patients were compared, as well as their blood pressures immediately before and during the operation. Blood pressure immediately before anesthesia induction, the highest and the lowest intraoperative blood pressures were recorded. Blood pressure immediately before anesthesia induction was significantly higher in hypertensive patients who underwent the operation in regional anesthesia compared to normotensive patients (158.48 mm Hg vs. 144.71 mm Hg, P<0.01). The highest intraoperative systolic blood pressure was also significantly higher in hypertensive patients operated on in regional anesthesia compared to normotensive patients (161.20 mm Hg vs. 146.76 mm Hg, P<0.01). The difference between the highest and the lowest intraoperative systolic blood pressure was significantly greater in hypertensive patients undergoing the operation in regional anesthesia compared to normotensive patients (46.41 mm Hg vs. 35.88 mm Hg, P<0.05). The results presented in this paper indicate that the fluctuations of intraoperative blood pressure were greater and the highest intraoperative systolic blood pressure was higher in hypertensive compared to normotensive patients undergoing the operation in regional anesthesia. In our study, there were no significant differences in intraoperative blood pressure between hypertensive and normotensive patients who underwent the operation in general anesthesia.
Authors:
Kresimir Kordić; Katarina Sakić; Dagmar Oberhofer
Related Documents :
12830438 - Volume control and blood pressure management in patients undergoing quotidian hemodialy...
6746088 - Severe hypertension in childhood due to prolonged skin application of a mineralocortico...
6673258 - Effect of cooled dialysate on serum catecholamines and blood pressure stability.
7755948 - Department of veterans affairs single-drug therapy of hypertension study. revised figur...
648738 - Concomitant administration of timolol and hydrochlorothiazide/amiloride in hypertensive...
15296878 - A new computer model of mitral valve hemodynamics during ventricular filling.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta clinica Croatica     Volume:  51     ISSN:  0353-9466     ISO Abbreviation:  Acta Clin Croat     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-08-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425483     Medline TA:  Acta Clin Croat     Country:  Croatia    
Other Details:
Languages:  eng     Pagination:  17-23     Citation Subset:  IM    
Affiliation:
University Department of Anesthesiology, Resuscitation and Intensive Care, Sveti Duh University Hospital, Zagreb, Croatia. kordic.kresimir@gmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Effects of nitrogen dioxide and meteorological conditions on the number of patients presenting to em...
Next Document:  Connection between inflammatory markers, antidepressants and depression.