Relationship between nocturnal hypoxaemia, tachycardia and myocardial ischaemia after major abdominal surgery

British Journal of Anaesthesia
I GögenurJ Rosenberg

Abstract

Episodic hypoxaemia, cardiac arrhythmias, and myocardial ischaemia may be related after major abdominal surgery. We studied 52 patients on the second and third nights after major abdominal operations, using continuous pulse oximetry and Holter ECG. We recorded the amount of time spent with oxygen saturation values less than 90, 85, and 80% during the night, and noted episodes of hypoxaemia, tachycardia, bradycardia, and ST-segment changes. In 87 study nights there were 2403 (individual range 1-229) episodes of hypoxaemia, 3509 (individual range 1-234) episodes of tachycardia, and 265 (individual range 1-73) episodes of ST segment deviation. Of the 52 patients, 50 had episodes of hypoxaemia and tachycardia, and 19 patients had one or more episodes of ST segment deviation. For 38% of the episodes of ST deviation, there was an episode of hypoxaemia at the same time and in 16% there was an episode of tachycardia. ST deviation was only noted in 4% of the episodes of hypoxaemia and in 1% of the episodes of tachycardia. Episodes of hypoxaemia and tachycardia frequently occur together after surgery but are rarely associated with ST deviation. Hypoxaemia or tachycardia is often present at the same time as ST deviation occurs.

References

Dec 1, 1992·The British Journal of Surgery·J RosenbergH Kehlet
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Jan 1, 1992·British Journal of Anaesthesia·J RosenbergH Kehlet
May 1, 1991·Acta Anaesthesiologica Scandinavica·J Rosenberg, H Kehlet
Sep 1, 1990·Mayo Clinic Proceedings·J W Shepard
Nov 1, 1990·British Journal of Anaesthesia·J RosenbergH Kehlet
Feb 1, 1994·British Journal of Anaesthesia·J RosenbergH Kehlet
Feb 4, 1993·The New England Journal of Medicine·V K SomersF M Abboud
Jan 1, 1997·British Journal of Anaesthesia·K StausholmJ Rosenberg
Nov 21, 2002·The European Journal of Surgery = Acta Chirurgica·Ismail GögenurJacob Rosenberg
Jan 18, 2003·Sleep Medicine Reviews·Jacob Rosenberg

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Citations

Mar 30, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Arunotai SiriussawakulJaruwan Laonarinthawoot
Apr 17, 2012·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Tajender S VasuKarl Doghramji
Mar 6, 2007·Annales Françaises D'anesthèsie Et De Rèanimation·P MicheletJ-P Auffray
Oct 26, 2013·Anesthesiology·Frances ChungWeimin Kang
Jul 3, 2018·Acta Anaesthesiologica Scandinavica·C L DuusC S Meyhoff
May 26, 2016·Stroke; a Journal of Cerebral Circulation·Tae Jung KimByung-Woo Yoon
Jul 6, 2021·Anaesthesia Critical Care & Pain Medicine·David CharierSerge Molliex
Nov 27, 2007·British Journal of Anaesthesia·I GögenurJ Rosenberg
May 28, 2019·Respiration; International Review of Thoracic Diseases·Marie-Hélène DenaultYves Lacasse

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