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- Title
Pre‐operative autonomic nervous system function – a missing link for post‐induction hypotension?
- Authors
Frandsen, M. N.; Mehlsen, J.; Bang Foss, N.; Kehlet, H.
- Abstract
The value of more elaborate HRV measures as shown in Figure 1 in predicting intra-operative hypotension has mainly been studied in caesarean section where Chamchad et al. [11] were the first to show that pre-operative HRV could predict the occurrence of intra-operative hypotension during this procedure. Here, we want to bring attention to the relevance of pre-existing autonomic nervous system function in relation to the risk of post-induction hypotension and the potential underlying haemodynamic instability, based on pre-operative heart rate variability (HRV) studies. Keywords: anaesthesia; autonomic nervous system; heart rate variability; hemodynamic instability; post-induction hypotension EN anaesthesia autonomic nervous system heart rate variability hemodynamic instability post-induction hypotension 139 142 4 01/11/22 20220201 NES 220201 In recent years, there has been an increased focus on peri-operative hypotension, and several large studies have shown that intra-operative hypotension is prevalent and that both the degree and duration of peri-operative hypotension is associated with negative postoperative outcomes [1, 2].
- Subjects
AUTONOMIC nervous system; HYPOTENSION; HEART beat; DYSAUTONOMIA; BLOOD volume; NERVE block; ELECTIVE surgery
- Publication
Anaesthesia, 2022, Vol 77, Issue 2, p139
- ISSN
0003-2409
- Publication type
Article
- DOI
10.1111/anae.15546