Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
+44 1223 790975
ISSN: 2155-6148
+44 1223 790975
Claude-Charles Balick Weber
France
Research Article
General Anesthesia in Hypertensive Patients: Impact of Pulse ressure but not Cardiac Diastolic Dysfunction on Intraoperative Hemodynamic Instability
Author(s): Claude-Charles Balick Weber, Anne-Cécile Brillouet Banchereau, Anne Deverly Blanchet, Pascal Blanchet, Michel E Safar and François StéphanClaude-Charles Balick Weber, Anne-Cécile Brillouet Banchereau, Anne Deverly Blanchet, Pascal Blanchet, Michel E Safar and François Stéphan
In hypertensive patients undergoing general anesthesia, elevated pulse pressure (PP) (>60 mmHg) and/or diastolic dysfunction (DD) could be risk factors for intraoperative hemodynamic instability. The aim of this observational study was to investigate the contribution of DD and preoperative PP with the occurrence of intraoperative hemodynamic instability. Hypertensive (n=61) and normotensive (n=21) patients were scheduled to undergo urologic surgery under general anesthesia. DD was graded according to preoperative Doppler echocardiography, and preoperative brachial PP was calculated during anesthetic consultation. Episodes of hypertension and hypotension were recorded during the intraoperative period. For statistical analysis, hypertensive patients were divided into groups according to the presence or not of DD. The relationship between PP and hemodynamic instability index was asses.. View More»
DOI:
10.4172/2155-6148.1000114