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[Evaluation of operation and anesthesia on hemodynamic variables in patients undergoing elective abdominal surgery by
1Department of General Surgery, Xuanwu Hospital, Capital University of Medical Sciences, Beijing 100053, China.
Objective:
To analyse and discuss the effects of elective abdominal operation and anaesthesia on patients' cardiac output via noninvasive thoracic bioimpedance technique.
Methods:
Noninvasive monitoring system HeMo-601 was applied to detect the hemodynamic variables of 32 elective abdominal surgery patients. The clinical data of cardiac output (CO), cardiac index (CI), cardiac working per minute (CW), left ventricular end-diastolic pressure (LVEDP), stroke volume (SV), cardiac stroke working (SW) and heart rate (HR) were analysed at 1 hour before operation, 4-6 hours after operation and 24 hours after operation, respectively.
Results:
No significant differences were found in CO, CI, CW and LVEDP between various time points and preoperation (all P>0.05). SV and SW at 4-6 hours after operation were significant lower than those before operation (all P<0.05). Whereas, SV and SW at 24 hours after operation were no significant differences compared with those before operation (all P>0.05). As compared with preoperation, HR at 4-6 hours after operation was significantly faster (P<0.05). However, there was no significant difference in HR between 24 hours after operation and preoperation (P>0.05).
Conclusion:
The reductions in SV and SW at 4-6 hours after operation might be a result of anaesthesia that could weaken the contraction of heart. The presence of rapidness of HR at 4-6 hours after operation might be a compensatory mechanism for the decreases in SV and SW. Therefore, optimizing adequate infusion by the greatest extent during and after operation is very crucial for the maintenance of CO, CI and tissue perfusion.
