Інформація призначена тільки для фахівців сфери охорони здоров'я, осіб,
які мають вищу або середню спеціальну медичну освіту.


Підтвердіть, що Ви є фахівцем у сфері охорони здоров'я.

"Hypertension" №1 (63), 2019

Back to issue

Цільові рівні артеріального тиску в періоперативному догляді. Попередні міркування на основі всебічного огляду літератури

Authors: Lingzhong Meng(1), Weifeng Yu(2), Tianlong Wang(3), Lina Zhang(4), Paul M. Heerdt(1), Adrian W. Gelb(5)
(1) — Відділ анестезіології медичного факультету Єльського університету (Yale University School of Medicine, New Haven, USA)
(2) — Відділ анестезіології госпіталю Реньї медичного факультету Шанхайського університету (Renji Hospital, Shanghai Jiao Tong University School of Medicine, China)
(3) — Відділ анестезіології госпіталю Хуанву Столичного (Пекін) медичного університету (Xuanwu Hospital, Capital Medical University, Beijing, China)
(4) — Відділ медицини критичних станів госпіталю Ксіангія Центрального південного університету (Xiangya Hospital, Central South University, Changsha, Hunan Province, China)
(5) — Відділ анестезіології та періоперативного догляду Каліфорнійського університету (University of California, San Francisco, USA)

Categories: Cardiology

Sections: Specialist manual

print version

Як один із життєво важливих параметрів, артеріальний тиск (АТ) необхідно вимірювати щонайменше раз на 5 хвилин із використанням неінвазивного методу автоматичним приладом у пацієнтів під час анестезії протягом проведення хірургічної операції, а в багатьох випадках рівень АТ контролюється постійно з використанням інвазивного методу. Обґрунтування рутинного й регулярного моніторингу АТ у періопераційному періоді ґрунтується на таких аргументах: 1) рівень АТ може бути надзвичайно мінливим; 2) ненормальний рівень АТ асоціюється із несприятливими наслідками; 3) рівень АТ можна легко лікувати; 4) керування рівнем АТ відповідно до рекомендованих протоколів може покращувати результати на підставі даних декількох рандомізованих контрольованих досліджень (РКД).

Хоча ретельний моніторинг АТ ...


For the full article you need to subscribe to the magazine.


Bibliography

1. Whelton P.K., Carey R.M., Aronow W.S. et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/ NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines // Hypertension. 2018; 71: e13-e115. doi: 10.1161/HYP.0000000000000065.

2. Rose J., Weiser T.G., Hider P., Wilson L., Gruen R.L., Bickler S.W. Estimated need for surgery worldwide based on prevalence of diseases: a modelling strategy for the WHO Global Health Estimate // Lancet Glob Health. 2015; 3(suppl 2): S13-S20. doi: 10.1016/S2214-109X(15)70087-2.

3. Bijker J.B., van Klei W.A., Vergouwe Y., Eleveld D.J., van Wolfswinkel L., Moons K.G., Kalkman C.J. Intraoperative hypotension and 1-year mortality after noncardiac surgery // Anesthesiology. 2009; 111: 1217-1226. doi: 10.1097/ALN.0b013e3181c14930.

4. Hsieh J.K., Dalton J.E., Yang D., Farag E.S., Sessler D.I., Kurz A.M. The association between mild intraoperative hypotension and stroke in general surgery patients // Anesth. Analg. 2016; 123: 933-939. doi: 10.1213/ANE.0000000000001526.

5. Hirsch J., DePalma G., Tsai T.T., Sands L.P., Leung J.M. Impact of intraoperative hypotension and blood pressure fluctuations on early postoperative delirium after non-cardiac surgery // Br. J. Anaesth. 2015; 115: 418-426. doi: 10.1093/bja/aeu458.

6. Kertai M.D., White W.D., Gan T.J. Cumulative duration of “triple low” state of low blood pressure, low bispectral index, and low minimum alveolar concentration of volatile anesthesia is not associated with increased mortality // Anesthesiology. 2014; 121: 18-28. doi: 10.1097/ALN.0000000000000281.

7. Babazade R., Yilmaz H.O., Zimmerman N.M., Stocchi L., Gorgun E., Kessler H., Sessler D.I., Kurz A., Turan A. Association between intraoperative low blood pressure and development of surgical site infection after colorectal surgery: a retrospective cohort study // Ann. Surg. 2016; 264: 1058-1064. doi: 10.1097/SLA.0000000000001607.

8. Mascha E.J., Yang D., Weiss S., Sessler D.I. Intraoperative mean arterial pressure variability and 30-day mortality in patients having noncardiac surgery // Anesthesiology. 2015; 123: 79-91. doi: 10.1097/ALN.0000000000000686.

9. Abbott T.E.F., Pearse R.M., Archbold R.A., Ahmad T., Niebrzegowska E., Wragg A., Rodseth R.N., Devereaux P.J., Ackland G.L. A prospective international multicentre cohort study of intraoperative heart rate and systolic blood pressure and myocardial injury after noncardiac surgery: results of the VISION Study // Anesth. Analg. 2018; 126: 1936-1945. doi: 10.1213/ANE.0000000000002560.

10. Monk T.G., Bronsert M.R., Henderson W.G., Mangione M.P., Sum-Ping S.T., Bentt D.R., Nguyen J.D., Richman J.S., Meguid R.A., Hammermeister K.E. Association between intraoperative hypotension and hypertension and 30-day postoperative mortality in noncardiac surgery // Anesthesiology. 2015; 123: 307-319. doi: 10.1097/ALN.0000000000000756

11. Monk T.G., Saini V., Weldon B.C., Sigl J.C. Anesthetic management and one year mortality after noncardiac surgery // Anesth. Analg. 2005; 100: 4-10. doi: 10.1213/01.ANE.0000147519.82841.5E.

12. Sessler D.I., Sigl J.C., Kelley S.D., Chamoun N.G., Manberg P.J., Saager L., Kurz A., Greenwald S. Hospital stay and mortality are increased in patients having a “triple low” of low blood pressure, low bispectral index, and low minimum alveolar concentration of volatile anesthesia // Anesthesiology. 2012; 116: 1195-1203. doi: 10.1097/ALN.0b013e31825683dc

13. Sprung J., Abdelmalak B., Gottlieb A., Mayhew C., Hammel J., Levy P.J., O’Hara P., Hertzer N.R. Analysis of risk factors for myocardial infarction and cardiac mortality after major vascular surgery // Anesthesiology. 2000; 93: 129-140.

14. Willingham M.D., Karren E., Shanks A.M., O’Connor M.F., Jacobsohn E., Kheterpal S., Avidan M.S. Concurrence of intraoperative hypotension, low minimum alveolar concentration, and low bispectral index is associated with postoperative death // Anesthesiology. 2015; 123: 775-785. doi: 10.1097/ALN.0000000000000822.

15. Pietropaoli J.A., Rogers F.B., Shackford S.R., Wald S.L., Schmoker J.D., Zhuang J. The deleterious effects of intraoperative hypotension on outcome in patients with severe head injuries // J. Trauma. 1992; 33: 403-407.

16. Reich D.L., Wood R.K. Jr, Emre S., Bodian C.A., Hossain S., Krol M., Feierman D. Association of intraoperative hypotension and pulmonary hypertension with adverse outcomes after orthotopic liver transplantation // J. Cardiothorac. Vasc. Anesth. 2003; 17: 699-702.

17. Sessler D.I., Meyhoff C.S., Zimmerman N.M. et al. Period-dependent associations between hypotension during and for four days after noncardiac surgery and a composite of myocardial infarction and death: a substudy of the POISE-2 Trial // Anesthesiology. 2018; 128: 317-327. doi: 10.1097/ALN.0000000000001985.

18. Goldman L., Caldera D.L., Southwick F.S., Nussbaum S.R., Murray B., O’Malley T.A., Goroll A.H., Caplan C.H., Nolan J., Burke D.S., Krogstad D., Carabello B., Slater E.E. Cardiac risk factors and complications in noncardiac surgery // Medicine (Baltimore). 1978; 57: 357-370.

19. Ziser A., Plevak D.J., Wiesner R.H., Rakela J., Offord K.P., Brown D.L. Morbidity and mortality in cirrhotic patients undergoing anesthesia and surgery // Anesthesiology. 1999; 90: 42-53.

20. Willingham M., Ben Abdallah A., Gradwohl S., Helsten D., Lin N., Villafranca A., Jacobsohn E., Avidan M., Kaiser H. Association between intraoperative electroencephalographic suppression and postoperative mortality // Br. J. Anaesth. 2014; 113: 1001-1008. doi: 10.1093/bja/aeu105

21. White S.M., Moppett I.K., Griffiths R., Johansen A., Wakeman R., Boulton C., Plant F., Williams A., Pappenheim K., Majeed A., Currie C.T., Grocott M.P. Secondary analysis of outcomes after 11,085 hip fracture operations from the prospective UK Anaesthesia Sprint Audit of Practice (ASAP-2) // Anaesthesia. 2016; 71: 506-514. doi: 10.1111/anae.13415

22. Cheng X.Q., Wu H., Zuo Y.M., Mei B., Zhang L., Cai Y.Z., Zhao Q., Lu X.F., Liu X.S., Gu E.W. Perioperative risk factors and cumulative duration of “triple-low” state associated with worse 30-day mortality of cardiac valvular surgery // J. Clin. Monit. Comput. 2017; 31: 387-395. doi: 10.1007/s10877-016-9856-2.

23. Devereaux P.J., Yang H., Yusuf S. et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (poise trial): a randomised controlled trial // Lancet. 2008; 371: 1839-1847.

24. Tassoudis V., Vretzakis G., Petsiti A., Stamatiou G., Bouzia K., Melekos M., Tzovaras G. Impact of intraoperative hypotension on hospital stay in major abdominal surgery // J Anesth. 2011; 25: 492-499. doi: 10.1007/s00540-011-1152-1.

25. Brunaud L., Nguyen-Thi P.L., Mirallie E., Raffaelli M., Vriens M., Theveniaud P.E., Boutami M., Finnerty B.M., Vorselaars W.M., Rinkes I.B., Bellantone R., Lombardi C., Fahey T. III, Zarnegar R., Bresler L. Predictive factors for postoperative morbidity after laparoscopic adrenalectomy for pheochromocytoma: a multicenter retrospective analysis in 225 patients // Surg. Endosc. 2016; 30: 1051-1059. doi: 10.1007/s00464-015-4294-7.

26. Salmasi V., Maheshwari K., Yang D., Mascha E.J., Singh A., Sessler D.I., Kurz A. Relationship between intraoperative hypotension, defined by either reduction from baseline or absolute thresholds, and acute kidney and myocardial injury after noncardiac surgery: a retrospective cohort analysis // Anesthesiology. 2017; 126: 47-65. doi: 10.1097/ALN.0000000000001432.

27. Sun L.Y., Wijeysundera D.N., Tait G.A., Beattie W.S. Association of intraoperative hypotension with acute kidney injury after elective noncardiac surgery // Anesthesiology. 2015; 123: 515-523. doi: 10.1097/ALN.0000000000000765

28. Walsh M., Devereaux P.J., Garg A.X., Kurz A., Turan A., Rodseth R.N., Cywinski J., Thabane L., Sessler D.I. Relationship between intraoperative mean arterial pressure and clinical outcomes after noncardiac surgery: toward an empirical definition of hypotension // Anesthesiology. 2013; 119: 507-515. doi: 10.1097/ALN.0b013e3182a10e26

29. Charlson M.E., MacKenzie C.R., Gold J.P., Ales K.L., Topkins M., Shires G.T. Intraoperative blood pressure. What patterns identify patients at risk for postoperative complications? // Ann. Surg. 1990; 212: 567-580.

30. Hallqvist L., Granath F., Huldt E., Bell M. Intraoperative hypotension is associated with acute kidney injury in noncardiac surgery: an observational study // Eur. J. Anaesthesiol. 2018; 35: 273-279. doi: 10.1097/EJA.0000000000000735.

31. Tallgren M., Niemi T., Poyhia R., Raininko E., Railo M., Salmenpera M., Lepantalo M., Hynninen M. Acute renal injury and dysfunction following elective abdominal aortic surgery // Eur. J. Vasc. Endovasc. Surg. 2007; 336: 550-555. doi: 10.1016/j.ejvs.2006.12.005.

32. House L.M., Marolen K.N., St Jacques P.J., McEvoy M.D., Ehrenfeld J.M. Surgical Apgar score is associated with myocardial injury after noncardiac surgery // J. Clin. Anesth. 2016; 34: 395-402. doi: 10.1016/j.jclinane.2016.05.009.

33. Kim B.H., Lee S., Yoo B., Lee W.Y., Lim Y., Kim M.C., Yon J.H., Kim K.M. Risk factors associated with outcomes of hip fracture surgery in elderly patients // Korean J. Anesthesiol. 2015; 68: 561-567. doi: 10.4097/kjae.2015.68.6.561.

34. van Waes J.A., van Klei W.A., Wijeysundera D.N., van Wolfswinkel L., Lindsay T.F., Beattie W.S. Association between intraoperative hypotension and myocardial injury after vascular surgery // Anesthesiology. 2016; 124: 35-44. doi: 10.1097/ALN.0000000000000922.

35. Alcock R.F., Kouzios D., Naoum C., Hillis G.S., Brieger D.B. Perioperative myocardial necrosis in patients at high cardiovascular risk undergoing elective non-cardiac surgery // Heart. 2012; 98: 792-798. doi: 10.1136/heartjnl-2011-301577.

36. Hallqvist L., Mårtensson J., Granath F., Sahlén A., Bell M. Intraoperative hypotension is associated with myocardial damage in noncardiac surgery: an observational study // Eur. J. Anaesthesiol. 2016; 33: 450-456. doi: 10.1097/EJA.0000000000000429

37. von Knorring J. Postoperative myocardial infarction: a prospective study in a risk group of surgical patients // Surgery. 1981; 90: 55-60.

38. Sabate S., Mases A., Guilera N., Canet J., Castillo J., Orrego C., Sabate A., Fita G., Parramуn F., Paniagua P., Rodriguez A., Sabate M.; ANESCARDIOCAT Group. Incidence and predictors of major perioperative adverse cardiac and cerebrovascular events in non-cardiac surgery // Br. J. Anaesth. 2011; 107: 879-890. doi: 10.1093/bja/aer268.

39. Charlson M.E., MacKenzie C.R., Gold J.P., Ales K.L., Topkins M., Shires G.T. Risk for postoperative congestive heart failure // Surg. Gynecol. Obstet. 1991; 172: 95-104.

40. Bijker J.B., Persoon S., Peelen L.M., Moons K.G., Kalkman C.J., Kappelle L.J., van Klei W.A. Intraoperative hypotension and perioperative ischemic stroke after general surgery: a nested case-control study // Anesthesiology. 2012; 116: 658-664. doi: 10.1097/ALN.0b013e3182472320.

41. Yocum G.T., Gaudet J.G., Teverbaugh L.A., Quest D.O., McCormick P.C., Connolly E.S. Jr, Heyer E.J. Neurocognitive performance in hypertensive patients after spine surgery // Anesthesiology. 2009; 110: 254-261. doi: 10.1097/ALN.0b013e3181942c7a.

42. Wang N.Y., Hirao A., Sieber F. Association between intraoperative blood pressure and postoperative delirium in elderly hip fracture patients // PLoS One. 2015; 10: e0123892. doi: 10.1371/journal.pone.0123892.

43. Sandid M.S., Assi M.A., Hall S. Intraoperative hypotension and prolonged operative time as risk factors for slow graft function in kidney transplant recipients // Clin. Transplant. 2006; 20: 762-768. doi: 10.1111/j.1399-0012.2006.00567.x.

44. Fumagalli U., Melis A., Balazova J., Lascari V., Morenghi E., Rosati R. Intra-operative hypotensive episodes may be associated with post-operative esophageal anastomotic leak // Updates Surg. 2016; 68: 185-190. doi: 10.1007/s13304-016-0369-9.

45. Reich D.L., Bennett-Guerrero E., Bodian C.A., Hossain S., Winfree W., Krol M. Intraoperative tachycardia and hypertension are independently associated with adverse outcome in noncardiac surgery of long duration // Anesth. Analg. 2002; 95: 273-277, table of contents.

46. Williams-Russo P., Sharrock N.E., Mattis S., Liguori G.A., Mancuso C., Peterson M.G., Hollenberg J., Ranawat C., Salvati E., Sculco T. Randomized trial of hypotensive epidural anesthesia in older adults // Anesthesiology. 1999; 91: 926-935.

47. Carrick M.M., Morrison C.A., Tapia N.M., Leonard J., Suliburk J.W., Norman M.A., Welsh F.J., Scott B.G., Liscum K.R., Raty S.R., Wall M.J. Jr, Mattox K.L. Intraoperative hypotensive resuscitation for patients undergoing laparotomy or thoracotomy for trauma: early termination of a randomized prospective clinical trial // J. Trauma Acute Care Surg. 2016; 80: 886-896. doi: 10.1097/TA.0000000000001044.

48. Futier E., Lefrant J.Y., Guinot P.G. et al.; INPRESS Study Group. Effect of individualized vs standard blood pressure management strategies on postoperative organ dysfunction among high-risk patients undergoing major surgery: a randomized clinical trial // JAMA. 2017; 318: 1346-1357. doi: 10.1001/jama.2017.14172.

49. Reich D.L., Bodian C.A., Krol M., Kuroda M., Osinski T., Thys D.M. Intraoperative hemodynamic predictors of mortality, stroke, and myocardial infarction after coronary artery bypass surgery // Anesth. Analg. 1999; 89: 814-822.

50. Gottesman R.F., Hillis A.E., Grega M.A., Borowicz L.M. Jr, Selnes O.A., Baumgartner W.A., McKhann G.M. Early postoperative cognitive dysfunction and blood pressure during coronary artery bypass graft operation // Arch. Neurol. 2007; 64: 1111-1114. doi: 10.1001/archneur.64.8.noc70028.

51. Kanji H.D., Schulze C.J., Hervas-Malo M., Wang P., Ross D.B., Zibdawi M., Bagshaw S.M. Difference between pre-operative and cardiopulmonary bypass mean arterial pressure is independently associated with early cardiac surgery-associated acute kidney injury // J. Cardiothorac. Surg. 2010; 5: 71. doi: 10.1186/1749-8090-5-71.

52. Haase M., Bellomo R., Story D., Letis A., Klemz K., Matalanis G., Seevanayagam S., Dragun D., Seeliger E., Mertens P.R., Haase-Fielitz A. Effect of mean arterial pressure, haemoglobin and blood transfusion during cardiopulmonary bypass on post-operative acute kidney injury // Nephrol. Dial. Transplant. 2012; 27: 153-160. doi: 10.1093/ndt/gfr275.

53. Ono M., Arnaoutakis G.J., Fine D.M., Brady K., Easley R.B., Zheng Y., Brown C., Katz N.M., Grams M.E., Hogue C.W. Blood pressure excursions below the cerebral autoregulation threshold during cardiac surgery are associated with acute kidney injury // Crit. Care Med. 2013; 41: 464-471. doi: 10.1097/CCM.0b013e31826ab3a1.

54. Ono M., Brady K., Easley R.B., Brown C., Kraut M., Gottesman R.F., Hogue C.W. Jr. Duration and magnitude of blood pressure below cerebral autoregulation threshold during cardiopulmonary bypass is associated with major morbidity and operative mortality // J. Thorac. Cardiovasc. Surg. 2014; 147: 483- 489. doi: 10.1016/j.jtcvs.2013.07.069.

55. Sickeler R., Phillips-Bute B., Kertai M.D., Schroder J., Mathew J.P., Swaminathan M., Stafford-Smith M. The risk of acute kidney injury with co-occurrence of anemia and hypotension during cardiopulmonary bypass relative to anemia alone // Ann. Thorac. Surg. 2014; 97: 865-871. doi: 10.1016/j.athoracsur.2013.09.060.

56. Hori D., Brown C., Ono M., Rappold T., Sieber F., Gottschalk A., Neufeld K.J., Gottesman R., Adachi H., Hogue C.W. Arterial pressure above the upper cerebral autoregulation limit during cardiopulmonary bypass is associated with postoperative delirium // Br. J. Anaesth. 2014; 113: 1009-1017. doi: 10.1093/bja/aeu319.

57. Wesselink E.M., Kappen T.H., van Klei W.A., Dieleman J.M., van Dijk D., Slooter A.J. Intraoperative hypotension and delirium after on-pump cardiac surgery // Br. J. Anaesth. 2015; 115: 427-433. doi: 10.1093/bja/aev256.

58. Kandler K., Jensen M.E., Nilsson J.C., Møller C.H., Steinbrьchel D.A. Arterial pressure during cardiopulmonary bypass is not associated with acute kidney injury // Acta Anaesthesiol. Scand. 2015; 59: 625-631. doi: 10.1111/aas.12484.

59. Hori D., Hogue C., Adachi H., Max L., Price J., Sciortino C., Zehr K., Conte J., Cameron D., Mandal K. Perioperative optimal blood pressure as determined by ultrasound tagged near infrared spectroscopy and its association with postoperative acute kidney injury in cardiac surgery patients // Interact. Cardiovasc. Thorac. Surg. 2016; 22: 445-451. doi: 10.1093/icvts/ivv371.

60. Gottesman R.F., Sherman P.M., Grega M.A., You-sem D.M., Borowicz L.M. Jr, Selnes O.A., Baumgartner W.A., McKhann G.M. Watershed strokes after cardiac surgery: diagnosis, etiology, and outcome // Stroke. 2006; 37: 2306-2311. doi: 10.1161/01.STR.0000236024.68020.3a.

61. Gold J.P., Charlson M.E., Williams-Russo P., Szatrowski T.P., Peterson J.C., Pirraglia P.A., Hartman G.S., Yao F.S., Hollenberg J.P., Barbut D. Improvement of outcomes after coronary artery bypass. A randomized trial comparing intraoperative high versus low mean arterial pressure // J. Thorac. Cardiovasc. Surg. 1995; 110: 1302-1311; discussion 1311. doi: 10.1016/S0022-5223(95)70053-6.

62. Siepe M., Pfeiffer T., Gieringer A., Zemann S., Benk C., Schlensak C., Beyersdorf F. Increased systemic perfusion pressure during cardiopulmonary bypass is associated with less early postoperative cognitive dysfunction and delirium // Eur. J. Cardiothorac. Surg. 2011; 40: 200-207. doi: 10.1016/j.ejcts.2010.11.024.

63. Charlson M.E., Peterson J.C., Krieger K.H., Hartman G.S., Hollenberg J.P., Briggs W.M., Segal A.Z., Parikh M., Thomas S.J., Donahue R.G., Purcell M.H., Pirraglia P.A., Isom O.W. Improvement of outcomes after coronary artery bypass II: a randomized trial comparing intraoperative high versus customized mean arterial pressure // J. Card. Surg. 2007; 22: 465-472. doi: 10.1111/j.1540-8191.2007.00471.x.

64. Azau A., Markowicz P., Corbeau J.J., Cottineau C., Moreau X., Baufreton C., Beydon L. Increasing mean arterial pressure during cardiac surgery does not reduce the rate of postoperative acute kidney injury // Perfusion. 2014; 29: 496-504. doi: 10.1177/0267659114527331.

65. Vedel A.G., Holmgaard F., Rasmussen L.S., Langkilde A., Paulson O.B., Lange T., Thomsen C., Olsen P.S., Ravn H.B., Nilsson J.C. High-target versus low-target blood pressure management during cardiopulmonary bypass to prevent cerebral injury in cardiac surgery patients: a randomized controlled trial // Circulation. 2018; 137: 1770-1780. doi: 10.1161/CIRCULATIONAHA.117.030308.

66. Sposato L.A., Suárez A., Jáuregui A., Riccio P.M., Altounian M., Andreoli M.G., Rodriguez A.I., Ressia J.F., Bressan G.J., Klein F.R., Raffaelli H., Bozovich G.E. Intraoperative hypotension, new onset atrial fibrillation, and adverse outcome after carotid endarterectomy // J. Neurol .Sci. 2011; 309: 5-8. doi: 10.1016/j.jns.2011.07.052.

67. Heyer E.J., Mergeche J.L., Anastasian Z.H., Kim M., Mallon K.A., Connolly E.S. Arterial blood pressure management during carotid endarterectomy and early cognitive dysfunction // Neurosurgery. 2014; 74: 245-251; discussion 251. doi: 10.1227/NEU.0000000000000256.

68. Howell M., Krajcer Z., Dougherty K., Strickman N., Skolkin M., Toombs B., Paniagua D. Correlation of periprocedural systolic blood pressure changes with neurological events in high-risk carotid stent patients // J. Endovasc. Ther. 2002; 9: 810-816. doi: 10.1177/152660280200900614.

69. Tan T.W., Eslami M.H., Kalish J.A., Eberhardt R.T., Doros G., Goodney P.P., Cronenwett J.L., Farber A.; Vascular Study Group of New England. The need for treatment of hemodynamic instability following carotid endarterectomy is associated with increased perioperative and 1-year morbidity and mortality // J. Vasc. Surg. 2014; 59: 16.e1-24.e1. doi: 10.1016/j.jvs.2013.07.025.

70. Chang H.S., Hongo K., Nakagawa H. Adverse effects of limited hypotensive anesthesia on the outcome of patients with subarachnoid hemorrhage // J. Neurosurg. 2000; 92: 971-975. doi: 10.3171/jns.2000.92.6.0971.

71. Kett-White R., Hutchinson P.J., Al-Rawi P.G., Czosnyka M., Gupta A.K., Pickard J.D., Kirkpatrick P.J. Cerebral oxygen and microdialysis monitoring during aneurysm surgery: effects of blood pressure, cerebrospinal fluid drainage, and temporary clipping on infarction // J. Neurosurg. 2002; 96: 1013-1019. doi: 10.3171/jns.2002.96.6.1013.

72. Hoff R.G., VAN Dijk G.W., Mettes S., Verweij B.H., Algra A., Rinkel G.J., Kalkman C.J. Hypotension in anaesthetized patients during aneurysm clipping: not as bad as expected? // Acta Anaesthesiol. Scand. 2008; 52: 1006-1011. doi: 10.1111/j.1399-6576.2008.01682.x.

73. Priebe H.J. Aneurysmal subarachnoid haemorrhage and the anaesthetist // Br. J. Anaesth. 2007; 99: 102-118. doi: 10.1093/bja/aem119.

74. Powers W.J., Rabinstein A.A., Ackerson T. et al; American Heart Association Stroke Council. 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association // Stroke. 2018; 49: e46-e110. doi: 10.1161/STR.0000000000000158.

75. Morgan M.K., Wiedmann M.K.H., Assaad N.N.A., Parr M.J.A., Heller G.Z. Deliberate employment of postoperative hypotension for brain arteriovenous malformation surgery and the incidence of delayed postoperative hemorrhage: a prospective cohort study // J. Neurosurg. 2017; 127: 1025-1040. doi: 10.3171/2016.9.JNS161333.

76. Morrison C.A., Carrick M.M., Norman M.A., Scott B.G., Welsh F.J., Tsai P., Liscum K.R., Wall M.J. Jr, Mattox K.L. Hypotensive resuscitation strategy reduces transfusion requirements and severe postoperative coagulopathy in trauma patients with hemorrhagic shock: preliminary results of a randomized controlled trial // J. Trauma. 2011; 70: 652-663. doi: 10.1097/TA.0b013e31820e77ea.

77. Meng L., Gruenbaum S.E., Dai F., Wang T. Physiology, intervention, and outcome: three critical questions about cerebral tissue oxygen saturation monitoring // Minerva Anestesiol. 2018; 84: 599-614. doi: 10.23736/S0375-9393.18.12476-X.

78. Bickler P., Feiner J., Rollins M., Meng L. Tissue oximetry and clinical outcomes // Anesth. Analg. 2017; 124: 72-82. doi: 10.1213/ANE. 0000000000001348.

79. Meng L., Heerdt P.M. Perioperative goal-directed haemodynamic therapy based on flow parameters: a concept in evolution // Br. J. Anaesth. 2016; 117(suppl 3): iii3–iii17. doi: 10.1093/bja/aew363.

80. Cowie D.A., Shoemaker J.K., Gelb A.W. Orthostatic hypotension occurs frequently in the first hour after anesthesia // Anesth. Analg. 2004; 98: 40-45, table of contents.

81. Hans S.S., Glover J.L. The relationship of cardiac and neurological complications to blood pressure chan-ges following carotid endarterectomy // Am. Surg. 1995; 61:
356-359.

82. Block F.E .Jr. Normal fluctuation of physiologic cardiovascular variables during anesthesia and the phenomenon of “smoothing” // J. Clin. Monit. 1991; 7: 141-145.

83. Epstein R.H., Dexter F., Schwenk E.S. Hypotension during induction of anaesthesia is neither a reliable nor a useful quality measure for comparison of anaesthetists’ performance // Br. J. Anaesth. 2017; 119: 106-114. doi: 10.1093/bja/aex153.

84. Bijker J.B., van Klei W.A., Kappen T.H., van Wolfswinkel L., Moons K.G., Kalkman CJ. Incidence of intraoperative hypotension as a function of the chosen definition: literature definitions applied to a retrospective cohort using automated data collection // Anesthesiology. 2007; 107: 213-220. doi: 10.1097/01.anes.0000270724.40897.8e.

Similar articles

Problems in intraoperative blood loss compensation: strategies of volumetric hemodynamic support (analytical review)
Authors: Курсов С.В.(1), Білецький О.В.(1), Лизогуб К.І.(2), Хмизов А.О.(2), Клебек М.Г.(2)
(1) — Харківська медична академія післядипломної освіти, м. Харків, Україна
(2) — ДУ «Інститут патології хребта та суглобів ім. проф. М.І. Ситенка НАМН України», м. Харків, Україна

"Emergency medicine" 2 (81) 2017
Date: 2017.05.15
Categories: Medicine of emergency
Sections: Specialist manual
Assessing and minimization of perioperative risk in cardiologic patient in non-cardiac surgery
Authors: Гарбар М.О.(1), Підгірний Я.М.(1), Світлик Ю.О.(1), Світлик Г.В.(1), Надольни К.(2)
(1) — Львівський національний медичний університет імені Данила Галицького, м. Львів, Україна
(2) — University of Strategic Planning in Dabrowa Górnicza, Medical University of Białystok, Польща

"Emergency medicine" №4(99), 2019
Date: 2019.08.06
Categories: Medicine of emergency
Sections: Specialist manual
Hemodynamics Correction in Perioperative Period (Analytical Review)
Authors: Лизогуб К.И., Лизогуб Н.В., Курсов С.В. - ГУ «Институт патологии позвоночника и суставов им. проф. М.И. Ситенко НАМН Украины», г. Харьков, Украина; Харьковская медицинская академия последипломного образования, г. Харьков, Украина
"Emergency medicine" 6 (77) 2016
Date: 2016.11.22
Categories: Medicine of emergency
Sections: Specialist manual
Сучасні методи об’єктивізації болю та ноцицепції
Authors: Кобеляцький Ю.Ю., Шайда О.О. — Кафедра анестезіології та інтенсивної терапії, ДЗ Дніпропетровська медична академія МОЗ України»
"Emergency medicine" 2 (65) 2015
Date: 2015.06.04
Categories: Medicine of emergency
Sections: Specialist manual

Back to issue