Hemodynamic and Catecholamine Responses to Laryngoscopy and Endotracheal Intubation in Paraplegic Patients: Time Course and Relation to the Affected Level / 대한마취과학회지
Korean Journal of Anesthesiology
; : 160-166, 2008.
Article
em Ko
| WPRIM
| ID: wpr-204180
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: We determined whether the cardiovascular responses to endotracheal intubation change as a function of the time elapsed after injury and the level of injury in patients with spinal cord injury. METHODS: One-hundred-eighty six patients with complete cord injury were grouped into 3 according to the level of injury:high- (T1-T4, n = 34), mid- (T5-T10, n = 47) and low paraplegics ( 10 yrs.Twenty-five patients with no cord injury served as controls.Systolic arterial blood pressure (SAP), heart rate (HR), and plasma catecholamine concentrations were measured. RESULTS: The intubation caused an increase of SAP and norepinephrine concentrations in every group.However, the magnitude of their peak increases was less in high paraplegics compared with all other groups (P < 0.05).HR was similarly increased in all groups (P < 0.01).Pressure but not either HR or norepinephrine response was enhanced in mid- and low-paraplegics whose injury elapsed more than 10 yrs compared with controls (P < 0.05).The incidence of arrhythmias did not differ among the groups. CONCLUSIONS: The pressure and plasma catecholamine changes associated with endotracheal intubation may be attenuated in high-paraplegics, and the pressure changes may be enhanced over time in mid- and low-paraplegics.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Plasma
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Arritmias Cardíacas
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Traumatismos da Medula Espinal
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Taquicardia
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Norepinefrina
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Incidência
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Pressão Arterial
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Frequência Cardíaca
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Hemodinâmica
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Hipertensão
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2008
Tipo de documento:
Article