Udayana Denpasar二级医院中心外科静脉诱导麻醉对患者血流动力学变化的影响

Emanuel Ileatan Lewar, I. W. A. Maharyawan, Y. Yusniawati, Carles Takandjandji
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摘要

简介:静脉麻醉诱导是一种医学诱导技术,可引起血流动力学紊乱。静脉麻醉诱导患者如果血流动力学障碍不能立即解决,其影响可引起血压升高或降低、组织灌注减少、心率增加和心律失常,从而打乱手术行动计划。引产时应仔细监测血压、平均动脉压(MAP)和脉搏。我们应该检查静脉诱导麻醉对Udayana Denpasar二级医院患者血流动力学变化的影响。方法:采用连续抽样技术进行描述性横断面研究。所有接受静脉麻醉诱导的患者都被认为是合格的研究应答者。采用观察表收集数据,本研究样本数量为60人,统计检验采用单变量技术,观察患者血压和脉搏血流动力学特征的频率分布。结果:大多数患者收缩压正常(51:85.0%),MAP正常(56;93.3%),脉搏正常(44;73.3%)。33名受访者(55.5%)报告舒张压过低。结论:静脉麻醉诱导改变了应答者的血流动力学状态。
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The Effect of Intravenous Induction of Anesthesia on the Hemodynamic Changes among Patient in Central Surgical Unit of Level-II Udayana Denpasar Hospital
Introduction: Intravenous anesthetic induction is a medically-induced technique that can cause hemodynamic disorder. The impact that occurs if hemodynamic disorders are not immediately resolved in patients with intravenous anaesthesia induction can cause an increase or decrease in blood pressure, decreased tissue perfusion, increased heart rate and arrhythmias so that it disrupts the surgical action plan. Blood pressure, Mean Arterial Pressure (MAP), and pulse should be monitored carefully during induction. We ought to examine the effect of intravenous induction of anesthesia on the hemodynamic changes among patients in the Level-II Udayana Denpasar Hospital. Methods: This was a descriptive cross-sectional study with a consecutive sampling technique. All patients under intravenous induction of anesthesia were considered eligible study respondents. Data were collected using an observation sheet, The number of samples in this study were 60 respondents, and the statistical test used a univariate technique by looking at the frequency distribution of the hemodynamic features of the patient's blood pressure and pulse. Results: Findings reported that the majority of patients were documented with normal systolic blood pressure (51: 85.0%), normal MAP (56; 93.3%), and normal pulse rate (44; 73.3%) during the intravenous induction. Low diastolic blood pressure was reported among 33 respondents (55.5%). Conclusion: The intravenous anesthetic induction altered the hemodynamic status among the respondents.
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