Evaluation of pre-induction dynamic arterial elastance as an adjustable predictor of post-induction hypotension: A prospective observational study
DC Field | Value | Language |
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dc.contributor.author | Oh, E.J. | - |
dc.contributor.author | Min, J.J. | - |
dc.contributor.author | Kwon, E. | - |
dc.contributor.author | Choi, E.A. | - |
dc.contributor.author | Lee, J.-H. | - |
dc.date.accessioned | 2024-06-20T01:30:40Z | - |
dc.date.available | 2024-06-20T01:30:40Z | - |
dc.date.issued | 2023-08 | - |
dc.identifier.issn | 0952-8180 | - |
dc.identifier.issn | 1873-4529 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74306 | - |
dc.description.abstract | Study objective: Dynamic arterial elastance (Eadyn) has been suggested as a functional measure of arterial load. We aimed to evaluate whether pre-induction Eadyn can predict post-induction hypotension. Design: Prospective observational study. Patients: Adult patients undergoing general anesthesia with invasive and non-invasive arterial pressure monitoring systems. Measurements: We collected invasive and non-invasive Eadyns (n = 38 in each), respectively. In both invasive and non-invasive Eadyns, pre-induction Eadyns were obtained during one-minute tidal and deep breathing in each patient before anesthetic induction. Post-induction hypotension was defined as a decrease of >30% in mean blood pressure from the baseline value or any absolute mean blood pressure value of <65 mmHg for 10 min after anesthetic induction. The predictabilities of Eadyns for the development of post-induction hypotension were tested using receiver-operating characteristic curve analysis. Main results: Invasive Eadyn during deep breathing showed significant predictability with an area under the curve (AUC) of 0.78 (95% Confidence interval [CI], 0.61–0.90, P = 0.001). But non-invasive Eadyn during tidal breathing (AUC = 0.66, 95% CI, 0.49–0.81, P = 0.096) and deep breathing (AUC = 0.53, 95% CI, 0.36–0.70, P = 0.75), and invasive Eadyn during tidal breathing (AUC = 0.66, 95% CI, 0.41–0.74, P = 0.095) failed to predict post-induction hypotension. Conclusion: In our study, invasive pre-induction Eadyn during deep breathing -could predict post-induction hypotension. Despite its invasiveness, future studies will be needed to evaluate the usefulness of Eadyn as a predictor of post-induction hypotension because it is an adjustable parameter. © 2023 The Authors | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Elsevier Inc. | - |
dc.title | Evaluation of pre-induction dynamic arterial elastance as an adjustable predictor of post-induction hypotension: A prospective observational study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.jclinane.2023.111092 | - |
dc.identifier.bibliographicCitation | Journal of Clinical Anesthesia, v.87 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 000972069300001 | - |
dc.identifier.scopusid | 2-s2.0-85151320718 | - |
dc.citation.title | Journal of Clinical Anesthesia | - |
dc.citation.volume | 87 | - |
dc.type.docType | Article; Early Access | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Arterial load | - |
dc.subject.keywordAuthor | Dynamic arterial elastance | - |
dc.subject.keywordAuthor | General anesthesia | - |
dc.subject.keywordAuthor | Post-induction hypotension | - |
dc.subject.keywordAuthor | Pulse pressure variation (PPV) | - |
dc.subject.keywordAuthor | Stroke volume variation (SVV) | - |
dc.subject.keywordPlus | PULSE PRESSURE VARIATION | - |
dc.subject.keywordPlus | INTRAOPERATIVE HYPOTENSION | - |
dc.subject.keywordPlus | GENERAL-ANESTHESIA | - |
dc.subject.keywordPlus | STROKE VOLUME | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | INDUCTION | - |
dc.subject.keywordPlus | PROPOFOL | - |
dc.subject.keywordPlus | ULTRASONOGRAPHY | - |
dc.subject.keywordPlus | SYSTEM | - |
dc.subject.keywordPlus | LOAD | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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