[Hemodynamic study during the postoperative period in coronary patients undergoing non-cardiac surgery. The role of mechanical ventilation and sedation].
The initial period of postoperative rewarming is frequently marked by rapid increases in metabolic rate and myocardial work leading to haemodynamic instability. In order to test the beneficial effect of mechanical respiratory support with sedation in the postoperative period, 18 patients with coronary artery disease operated upon for abdominal or orthopedic surgery were submitted to a hemodynamic study. The patients were divided in two groups. In group II intravenous nitrates were administered perioperatively. Postoperative hemodynamic profiles were similar in both group. No perioperative signs of myocardial ischemia were detected. Prolonged ventilation with sedation can prevent the hemodynamic stress of recovery.
D000368:Aged; D000777:Anesthetics / Q000494:pharmacology; D001794:Blood Pressure; D001831:Body Temperature; D003327:Coronary Disease / Q000503:physiopathology*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D008297:Male; D010101:Oxygen Consumption; D011182:Postoperative Care; D011184:Postoperative Period; D011229:Preanesthetic Medication; D012121:Respiration, Artificial; D013514:Surgical Procedures, Operative; D014655:Vascular Resistance
D000777:Anesthetics; D006993:Hypnotics and Sedatives
Etude hémodynamique au cours de la période postopératoire chez le coronarien en chirurgie non-cardiaque. Intérêt de la ventilation mécanique et de la sédation.