Hemodynamic parameters during robotic radical prostatectomy in elderly patients with increased cardiac risk
Anesthesia and Pain Medicine
;
: 249-255, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-74815
ABSTRACT
BACKGROUND:
We studied the hemodynamic changes associated with steep Trendelenburg position and prolonged pneumoperitoneum during robot-assisted laparoscopic prostatectomy in elderly patients with cardiac diseases.METHODS:
Hemodynamic variables were measured at baseline supine position, at 30 min, 1, 2, 3 and 4 h during CO2 insufflation in post-Trendelenburg position, and after deflation in the supine position.RESULTS:
In comparison with normal subjects, the cardiac index and systemic vascular resistance index of patients with cardiac diseases were significantly affected by the Trendelenburg position and pneumoperitoneum (P < 0.001). However, other variables of heart rate, mean arterial pressure and central venous pressure were not differed between the groups.CONCLUSIONS:
We conclude that attention should be paid to maintain adequate hemodynamic status during prolonged pneumoperitoneum in the Trendelenburg position, and which is unfeasible in patients with severe heart failure and unstable angina.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumoperitônio
/
Prostatectomia
/
Resistência Vascular
/
Insuflação
/
Pressão Venosa Central
/
Decúbito Dorsal
/
Decúbito Inclinado com Rebaixamento da Cabeça
/
Pressão Arterial
/
Cardiopatias
/
Insuficiência Cardíaca
Tipo de estudo:
Estudo de etiologia
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2012
Tipo de documento:
Artigo
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