The Effect of Aging on the Hemodynamic Response to Endotracheal Intubation during the Induction of Anesthesia
Journal of the Korean Geriatrics Society
; : 36-41, 2016.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-202844
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
The aim of this study was to evaluate the effect of aging on the hemodynamic response to endotracheal intubation during the induction of anesthesia.METHODS:
Fifty patients with American Society of Anesthesiologists physical status classification 1 or 2 were enrolled and allocated according to age to either group N (35-44 years, not elderly, n=25) or group E (65-74 years, elderly, n=25). The patients were administered 3 minimum alveolar concentrations of sevoflurane for 5 minutes for the induction of anesthesia. Systolic arterial pressure (SAP) and heart rate (HR) were recorded before (baseline), immediately after (T0), and at 1-minute intervals during the first 4 minutes after endotracheal intubation (T1-T4).RESULTS:
SAP increased by 15.4% and 10.8%(p<0.05) from the baseline at T0 and T1, respectively, in group N, and by 21.6%, 17.8%, and 11.8%(p<0.05) from the baseline at T0, T1 and T2 respectively, in group E. The SAP increases at T0, T1 and T2 were significantly greater in group E than in group N (p<0.05). The HR increases at T0 and T1 were significantly greater for group N than for group E (p<0.05).CONCLUSION:
We recommend that anesthesiologists vigilantly monitor and attenuate adverse hemodynamic responses for at least 5 minutes after endotracheal intubation especially in elderly patients, particularly because significant systolic hypertension can occur in this age group.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Aging
/
Classification
/
Arterial Pressure
/
Heart Rate
/
Hemodynamics
/
Hypertension
/
Intubation
/
Intubation, Intratracheal
/
Anesthesia
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Journal of the Korean Geriatrics Society
Year:
2016
Document type:
Article