Optimization of anesthesia for emergency abdominal surgery in the elderly

Annales Françaises D'anesthèsie Et De Rèanimation
C VarvatS Molliex

Abstract

Peroperative haemodynamic profile comparison of two anaesthetic protocols for emergency abdominal surgery of old patients. Non-randomized monocentric study. Patients in the Optimization group were prospectively studied. Anaesthesia was induced by etomidate-succinylcholine and maintained with effect site and end-tidal target controlled administration of remifentanil and desflurane respectively to keep the BIS values between 45 and 55. These patients were matched with retrospectively studied patients constituting the Control group. The latter's were anaesthetized with etomidate-succinylcholine and anaesthesia was maintained by manually controlled administration of sufentanil and desflurane to keep systolic arterial pressure (SAP) within a range of more or less 30% of preoperative baseline SAP. Twelve patients (86+/-5 yrs) were included in the Optimization group, 11 (86+/-4 yrs) in the Control group. The time spent at a SAP within more or less 30% of baseline values was 92+/-7% and 71+/-29% of total anesthesia time in the Optimization and Control groups respectively (p<0.05). That spent at a SAP less than 15 and 30% of baseline values was 23+/-11% et 3+/-5% of total anaesthesia time in the Optimization group, whereas in the MAN gr...Continue Reading

References

Nov 1, 1965·Anesthesiology·E I EgerB Brandstater
Jan 1, 1994·British Journal of Anaesthesia·M D BrunnerP S Glass
Jul 1, 1997·Veterinary Surgery : VS·F J TendilloI A Gómez de Segura
Nov 30, 2000·British Journal of Anaesthesia·H J Priebe
Jul 25, 2003·British Journal of Anaesthesia·R W D Nickalls, W W Mapleson
Jan 27, 2004·British Journal of Anaesthesia·G GodetP Coriat
Jun 29, 2004·British Journal of Anaesthesia·J G C Lerou
Jun 1, 2005·Annales Françaises D'anesthèsie Et De Rèanimation·S Passot, S Molliex

Related Concepts

Suprane
Remifentanil monohydrochloride
Abdomen
Anesthesia Procedures
Diastolic Blood Pressure
Emergency Care
Radenarkon
Hemodynamics
Isoflurane
Neuromuscular Depolarizing Agents

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