Effects of stellate ganglion block on cardiovascular reaction and heart rate variability in elderly patients during anesthesia induction and endotracheal intubation
Copyright © 2014 Elsevier Inc. All rights reserved..
STUDY OBJECTIVE: To investigate the effects of stellate ganglion block (SGB) on cardiovascular response and heart rate (HR) variability in elderly patients during anesthesia induction and endotracheal intubation.
DESIGN: A randomized, double-blinded, and placebo-controlled study.
SETTING: University-affiliated teaching hospital.
PARTICIPANTS: Eighty elderly patients (American Society of Anesthesiologists grades I and II) receiving elective surgery during general anesthesia.
INTERVENTIONS: Right stellate ganglion injection (SGB) was performed in all patients using 10 mL of 1% lidocaine or normal saline.
MEASUREMENTS: Systolic blood pressure (BP), diastolic BP, HR, and calculated rate pressure product. HR variability at the following time points: conscious status before induction (T0); immediately before intubation (T1); immediately after intubation (T2); and 1, 3, and 5 minutes postintubation (T3, T4, and T5).
MAIN RESULTS: No significant differences in BP and HR were observed between the 2 groups. Rate pressure product values significantly increased in the control group compared with baseline and SGB group values. Low-frequency power (LF) and LF/high-frequency power (HF) significantly increased, and HF and normalized units of HF significantly decreased in the control group compared with baseline values. LF, normalized units of LF, and LF/HF in the SGB group significantly decreased compared with those of the control group.
CONCLUSION: SGB protects the myocardium and effectively suppresses stress responses during anesthesia induction and tracheal intubation in elderly patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
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| Enthalten in: |
Journal of clinical anesthesia - 27(2015), 2 vom: 06. März, Seite 140-5 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chen, Yong-Quan [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 24.11.2015 Date Revised 10.03.2015 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jclinane.2014.06.012 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM245062513 |
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| 245 | 1 | 0 | |a Effects of stellate ganglion block on cardiovascular reaction and heart rate variability in elderly patients during anesthesia induction and endotracheal intubation |
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| 500 | |a Date Completed 24.11.2015 | ||
| 500 | |a Date Revised 10.03.2015 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2014 Elsevier Inc. All rights reserved. | ||
| 520 | |a STUDY OBJECTIVE: To investigate the effects of stellate ganglion block (SGB) on cardiovascular response and heart rate (HR) variability in elderly patients during anesthesia induction and endotracheal intubation | ||
| 520 | |a DESIGN: A randomized, double-blinded, and placebo-controlled study | ||
| 520 | |a SETTING: University-affiliated teaching hospital | ||
| 520 | |a PARTICIPANTS: Eighty elderly patients (American Society of Anesthesiologists grades I and II) receiving elective surgery during general anesthesia | ||
| 520 | |a INTERVENTIONS: Right stellate ganglion injection (SGB) was performed in all patients using 10 mL of 1% lidocaine or normal saline | ||
| 520 | |a MEASUREMENTS: Systolic blood pressure (BP), diastolic BP, HR, and calculated rate pressure product. HR variability at the following time points: conscious status before induction (T0); immediately before intubation (T1); immediately after intubation (T2); and 1, 3, and 5 minutes postintubation (T3, T4, and T5) | ||
| 520 | |a MAIN RESULTS: No significant differences in BP and HR were observed between the 2 groups. Rate pressure product values significantly increased in the control group compared with baseline and SGB group values. Low-frequency power (LF) and LF/high-frequency power (HF) significantly increased, and HF and normalized units of HF significantly decreased in the control group compared with baseline values. LF, normalized units of LF, and LF/HF in the SGB group significantly decreased compared with those of the control group | ||
| 520 | |a CONCLUSION: SGB protects the myocardium and effectively suppresses stress responses during anesthesia induction and tracheal intubation in elderly patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Cardiovascular reaction | |
| 650 | 4 | |a Heart rate variability | |
| 650 | 4 | |a Intratracheal anesthesia | |
| 650 | 4 | |a Stellate ganglion block | |
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| 650 | 7 | |a Lidocaine |2 NLM | |
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| 700 | 1 | |a Jin, Xiao-Ju |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Zhao-Fang |e verfasserin |4 aut | |
| 700 | 1 | |a Zhu, Mei-Fang |e verfasserin |4 aut | |
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