Author:
Stošić Biljana,Stošić Marija,Živadinović Jelena,Veselinović Ines
Abstract
Background and Aim: The aim of the present study was to compare the effect of volatile induction and maintenance of anesthesia (VIMA) and target controlled infusion (TCI) on cardiovascular stability in New York Heart Association (NYHA) grade II patients who underwent laparoscopic cholecystectomy. Patients and methods: In the present study, 90 patients were randomized into two groups depending on whether they received VIMA or TCI. Heart rate, systolic, diastolic and mean arterial pressure were monitored continuously and recorded in five time intervals. Results: Statistical analysis showed that VIMA with sevoflurane provides better cardiocirculatory stability (less than 10% deviation from basal values for each measured parameter) than TCI group (p < 0.01). Conclusion: Volatile induction and maintenance of anesthesia with sevoflurane provides better hemodynamic stability for NYHA II patients with concomitant cardiovascular diseases compared to TCI.
Publisher
Centre for Evaluation in Education and Science (CEON/CEES)
Reference20 articles.
1. Azbarov N, Burov N, Kornienco AN. Genesis of cardiorespiratory dysfunction at laparoscopic cholecystectomy. 12th World Congress of Anaesthesiologists, Canada, 2000. Book of Abstracts, str. 40. Apstract No P2. 1. 13;
2. Barkun JS, Caro JJ, Barkun AN, et al. Costeffectiveness of laparoscopic and minicholecystectomy in a prospective randomized trial. Surg Endosc 1995;9:1221-4;
3. Sudheer PS, Logan SW, Ateleanu B, Hall JE. Haemodynamic effects of the prone position: a comparison of propofol total intravenous and inhalation anaesthesia. Anaesthesia 2006; 61(2): 138-41. https://doi.org/10.1111/j.1365-2044.2005.04464.x;
4. Stosic B, Stojanovic M, Jankovic R, et al. Implications of anesthetic techniques on patients' recovery in laparoscopic cholecystectomy. Vojnosanit Pregl 2009; 66: 421-6. https://doi.org/10.2298/VSP0906421S;
5. Fujii S, Ishibe A, Ota M, et al. Short-term results of a randomized study between laparoscopic and open surgery in elderly colorectal cancer patients. Surg Endosc 2014; 28: 466-76. https://doi.org/10.1007/s00464-013-3223-x;