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Measurements of inferior vena cava diameter for prediction of hypotension and bradycardia during spinal anesthesia in spontaneously breathing patients during elective knee joint replacement surgery / Asta Mačiulienė, Arūnas Gelmanas, Inna Jaremko, Ramūnas Tamošiūnas, Alfredas Smailys, Andrius Macas
Type of publication
Straipsnis Web of Science ir Scopus duomenų bazėje / Article in Web of Science and Scopus database (S1)
Author(s)
Title
Measurements of inferior vena cava diameter for prediction of hypotension and bradycardia during spinal anesthesia in spontaneously breathing patients during elective knee joint replacement surgery / Asta Mačiulienė, Arūnas Gelmanas, Inna Jaremko, Ramūnas Tamošiūnas, Alfredas Smailys, Andrius Macas
Publisher (trusted)
MDPI
Date Issued
2018-07-12
Extent
p. 574-583.
Is part of
Medicina. Basel : MDPI, 2018, vol. 54, no. 3.
Version
Originalus / Original
Description
Article No. 49.
OA, (CC BY) license.
Field of Science
Abstract
Background and objective: Hypotension and bradycardia are the most common hemodynamic disorders and side effects of spinal anesthesia (SA) on the cardiovascular system. SA-induced sympathetic denervation causes peripheral vasodilatation and redistribution of central blood volume that may lead to decreased venous return to the heart. The aim of the study was to evaluate the changes of inferior vena cava collapsibility index (IVC-CI) during SA in spontaneously breathing patients during elective knee joint replacement surgery to prognose manifestation of intraoperative hypotension and bradycardia. Materials and methods: 60 patients (American Society of Anesthesiologists (ASA) physical status I or II, no clinically significant cardiovascular pathology) of both sexes undergoing elective knee joint replacement surgery under SA were included in the prospective study. Inspiratory and expiratory inferior vena cava (IVCin, IVCex) diameters were measured using an ultrasound device in supine position before and immediately after SA, then 15 min, 30 min, and 45 min after SA was performed. The heart rate, along with systolic, diastolic, and mean arterial blood pressures were collected. The parameters were measured at the baseline and at the next four time points. Results: There were no significant changes in IVCin, IVCex, and IVC-CI compared to baseline and other time point measurements in hypotensive versus nonhypotensive and bradycardic versus nonbradycardic patients (p > 0.05). Changes in IVC diameter do not prognose hypotension and/or bradycardia during SA: the area under the curve (AUC) of the receiver operating characteristic (ROC) curve for IVC-CI at all measuring points was <0.7, p > 0.05. Conclusions: Reduction in IVC diameters and increase in IVC-CI do not predict hypotension and bradycardia during SA in spontaneously breathing patients undergoing elective knee joint replacement surgery.
Is Referenced by
Type of document
type::text::journal::journal article::research article
ISSN (of the container)
1010-660X
1648-9144
WOS
000441528700018
Other Identifier(s)
(LSMU ALMA)990000963070107106
Coverage Spatial
Šveicarija / Switzerland (CH)
Language
Anglų / English (en)
Bibliographic Details
27
Access Rights
Prieiga intranete / Intranet Access
File(s)
Journal | IF | AIF | AIF (min) | AIF (max) | Cat | AV | Year | Quartile |
---|---|---|---|---|---|---|---|---|
Medicina-Lithuania | 1.467 | 4.542 | 4.542 | 4.542 | 1 | 0.323 | 2018 | Q3 |
Journal | IF | AIF | AIF (min) | AIF (max) | Cat | AV | Year | Quartile |
---|---|---|---|---|---|---|---|---|
Medicina-Lithuania | 1.467 | 4.542 | 4.542 | 4.542 | 1 | 0.323 | 2018 | Q3 |
Journal | Cite Score | SNIP | SJR | Year | Quartile |
---|---|---|---|---|---|
Medicina | 1.7 | 0.62 | 0.443 | 2018 | Q2 |