Hemodynamics in the vessels of the stomach and intestine in patients with anesthesia, peritonitis, trauma and blood loss

1986 ◽  
Vol 67 (5) ◽  
pp. 336-339
Author(s):  
A. A. Nazipov
Keyword(s):  
Blood Pressure ◽  
Comparative Analysis ◽  
Blood Loss ◽  
Epidural Anesthesia ◽  
Traumatic Shock ◽  
Hemodynamic Parameters ◽  
Intestinal Infarction ◽  
Internal Bleeding ◽  
Different Types

The aim of the present study was a comparative analysis of blood pressure in mesenteric and intraorgan vessels and cardiac hemodynamic parameters in different types of general and epidural anesthesia, peritonitis, traumatic shock, internal bleeding and intestinal infarction.

scholarly journals Effects of epidural analgesia using different concentrations of bupivacaine during combined general and epidural anesthesia

2012 ◽  
Vol 65 (7-8) ◽  
pp. 289-293
Author(s):  
Dragana Unic-Stojanovic ◽  
Vojislava Neskovic ◽  
Ivan Ilic
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Blood Loss ◽  
Epidural Analgesia ◽  
General Anesthesia ◽  
Epidural Anesthesia ◽  
Aortic Surgery ◽  
Abdominal Aortic Surgery ◽  
Thoracic Epidural ◽  
Abdominal Aortic

Introduction. Thoracic epidural analgesia, combined with general anesthesia, is an established anesthetic choice for abdominal aortic surgery. However, there are controversies about the level of anesthesia as well as the dose and concentration of the local anesthetic used. The aim of the study was to compare the effects of two different concentrations of epidural bupivacaine on sevoflurane requirements and hemodynamic parameters during aortic surgery under combined epidural/general anesthesia. Methods and Material. Sixty patients scheduled for abdominal aortic surgery were randomly divided into two groups according to the concentration of local anesthetic used for epidural anesthesia: - Group 1- low concentration - where 0.125% bupivacaine was used, and - Group 2 - high concentration - where 0.5% bupivacaine was used at the beginning and then the concentration was reduced to 0.25%. Anesthesia was maintained with sevoflurane, the dose was adjusted to achieve the target entropy of 40-60. The measurements included the inspired sevoflurane concentrations, blood pressure, and heart rate at the beginning and every 5 min during the surgery. Results. Both groups had similar heart rate and blood pressure, but the inspired sevoflurane concentration was significantly higher and more variable in patients where bupivacaine 0.125% was used. Vasopressors were used more often and in higher doses in the 0.5% bupivacaine group, and in the same group the blood loss and fluid requirements were reduced. Conclusion. When 0.5% bupivacaine is used in combined thoracic epidural/ general anesthesia for aortic surgery, the sevoflurane concentrations are lower and less variable. In addition, the blood loss and fluid requirements are reduced.

scholarly journals Comparison of the effect of general and spinal anesthesia for elective cesarean section on maternal and fetal outcomes: a retrospective cohort study

2021 ◽  
Author(s):  
Tae-Yun Sung ◽  
Hwang-Ju You ◽  
Choon-Kyu Cho ◽  
Young Seok Jee
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Blood Loss ◽  
Retrospective Cohort ◽  
Hemodynamic Parameters ◽  
Cesarean Sections ◽  
General Group ◽  
Apgar Scores ◽  
Estimated Blood Loss ◽  
Spinal Group

Background: Anesthesia is needed to ensure both maternal and fetal safety during cesarean sections. This retrospective cohort study compared maternal and fetal outcomes between general and spinal anesthesia for cesarean section based on perioperative hemodynamic parameters (pre- and postoperative systolic blood pressure, heart rate), mean difference of hematocrit and estimated blood loss, and neonatal Apgar scores at 1 and 5 min.Methods: Data from electronic medical records of 331 singleton pregnancies between January 2016 and December 2018 were analyzed retrospectively; 44 cases were excluded, and 287 cases were assigned to the general group (n = 141) or spinal group (n = 146).Results: Postoperative hemodynamic parameters were significantly higher in the general group than the spinal group (systolic blood pressure: 136.8 ± 16.7 vs. 119.3 ± 12.7 mmHg, heart rate: 93.2 ± 16.8 vs. 71.0 ± 12.7 beats/min, respectively, P < 0.001). The mean difference between the pre- and postoperative hematocrit was also significantly greater in the general than spinal group (4.8 ± 3.4% vs. 2.3 ± 3.9%, respectively, P < 0.001). The estimated blood loss was significantly lower in the spinal than general group (819.9 ± 81.9 vs. 856.7 ± 117.9 ml, P < 0.001). There was a significantly larger proportion of newborns with 5-min Apgar scores < 7 in the general than spinal group (6/141 [4.3%] vs. 0/146 [0%], respectively, P = 0.012). Conclusions: General group is associated with more maternal blood loss and a larger proportion of newborns with 5-min Apgar scores < 7 than spinal group during cesarean sections.

Hemodynamic Parameters in the Assessment of Fluid Status in a Porcine Hemorrhage and Resuscitation Model

2021 ◽  
Author(s):  
Eric S. Wise ◽  
Kyle M. Hocking ◽  
Monica E. Polcz ◽  
Gregory J. Beilman ◽  
Colleen M. Brophy ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Loss ◽  
Pulmonary Capillary Wedge Pressure ◽  
Venous Pressure ◽  
Vital Signs ◽  
Hemodynamic Parameters ◽  
Central Venous ◽  
Mean Pulmonary Artery Pressure ◽  
Pulmonary Capillary ◽  
Wedge Pressure

Background Measuring fluid status during intraoperative hemorrhage is challenging, but detection and quantification of fluid overload is far more difficult. Using a porcine model of hemorrhage and over-resuscitation, it is hypothesized that centrally obtained hemodynamic parameters will predict volume status more accurately than peripherally obtained vital signs. Methods Eight anesthetized female pigs were hemorrhaged at 30 ml/min to a blood loss of 400 ml. After each 100 ml of hemorrhage, vital signs (heart rate, systolic blood pressure, mean arterial pressure, diastolic blood pressure, pulse pressure, pulse pressure variation) and centrally obtained hemodynamic parameters (mean pulmonary artery pressure, pulmonary capillary wedge pressure, central venous pressure, cardiac output) were obtained. Blood volume was restored, and the pigs were over-resuscitated with 2,500 ml of crystalloid, collecting parameters after each 500-ml bolus. Hemorrhage and resuscitation phases were analyzed separately to determine differences among parameters over the range of volume. Conformity of parameters during hemorrhage or over-resuscitation was assessed. Results During the course of hemorrhage, changes from baseline euvolemia were observed in vital signs (systolic blood pressure, diastolic blood pressure, and mean arterial pressure) after 100 ml of blood loss. Central hemodynamic parameters (mean pulmonary artery pressure and pulmonary capillary wedge pressure) were changed after 200 ml of blood loss, and central venous pressure after 300 ml of blood loss. During the course of resuscitative volume overload, changes were observed from baseline euvolemia in mean pulmonary artery pressure and central venous pressure after 500-ml resuscitation, in pulmonary capillary wedge pressure after 1,000-ml resuscitation, and cardiac output after 2,500-ml resuscitation. In contrast to hemorrhage, vital sign parameters did not change during over-resuscitation. The strongest linear correlation was observed with pulmonary capillary wedge pressure in both hemorrhage (r2 = 0.99) and volume overload (r2 = 0.98). Conclusions Pulmonary capillary wedge pressure is the most accurate parameter to track both hemorrhage and over-resuscitation, demonstrating the unmet clinical need for a less invasive pulmonary capillary wedge pressure equivalent. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

scholarly journals Adapted Intraoperative Program Infusion-Transfusion Therapy in Critical Light Bleeding

2020 ◽  
Vol 6 (1) ◽  
pp. 105-113
Author(s):  
Sh. Abdurakhmanov ◽  
Zh. Chyngysheva ◽  
N. Mamazhusupov ◽  
E. Tilekov
Keyword(s):  
Comparative Analysis ◽  
Blood Loss ◽  
Adverse Outcome ◽  
Expectant Management ◽  
Risk Level ◽  
Transfusion Therapy ◽  
Number Of Patients ◽  
Different Types ◽  
Surgical Tactics ◽  
Acute Haemorrhage

The paper presents data on the evaluation of the effectiveness of intraoperative infusion–transfusion therapy for critical luminal blood loss in patients. The data on the clinical picture of a number of patients were used. A comparative analysis of different types of treatment was performed. In conclusion, it is concluded that patients who had profuse bleeding and acute haemorrhage of the III degree and who performed the operation in the early stages, according to active surgical tactics, the chances of a favorable outcome of the operation increased by 60%. The risk level of an adverse outcome in case of delayed surgery (expectant management) increased by 15%.

Randomized Trial of Hypotensive Epidural Anesthesia in Older Adults 

1999 ◽  
Vol 91 (4) ◽  
pp. 926-926 ◽  
Author(s):  
Pamela Williams-Russo ◽  
Nigel E. Sharrock ◽  
Steven Mattis ◽  
Gregory A. Liguori ◽  
Carol Mancuso ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Blood Loss ◽  
Elderly Patients ◽  
Arterial Blood Pressure ◽  
Epidural Anesthesia ◽  
Mean Arterial Blood Pressure ◽  
Pressure Management ◽  
Blood Pressure Management ◽  
Arterial Blood

Background Data are sparse on the incidence of postoperative cognitive, cardiac, and renal complications after deliberate hypotensive anesthesia in elderly patients. Methods This randomized, controlled clinical trial included 235 older adults with comorbid medical illnesses undergoing elective primary total hip replacement with epidural anesthesia. The patients were randomly assigned to one of two levels of intraoperative mean arterial blood pressure management: either to a markedly hypotensive mean arterial blood pressure range of 45-55 mmHg or to a less hypotensive range of 55-70 mmHg. Cognitive outcome was assessed by within-patient change on 10 neuropsychologic tests assessing memory, psychomotor, and language skills from before surgery to 1 week and 4 months after surgery. Prospective standardized surveillance was performed for cardiovascular and renal outcomes, delirium, thromboembolism, and blood loss and replacement. Results The two groups were similar at baseline in terms of age (mean, 72 yr), sex (50% women), comorbid conditions, and cognitive function. After operation, no significant differences in the incidence of early or long-term cognitive dysfunction were observed between the two blood pressure management groups. There were no significant differences in the rates of other adverse consequences, including cardiac, renal, and thromboembolic complications. In addition, no differences occurred in the duration of surgery, intraoperative estimated blood loss, or transfusion rates. Conclusions Elderly patients can safely receive controlled hypotensive epidural anesthesia with this protocol. There was no evidence of greater risks, or early benefits, with the use of the more markedly hypotensive range.

scholarly journals Comparative analysis among blood pressure devices, from different brands, used in the pharmaceutical clinic service in a public pharmacy, Sinop-MT.

2020 ◽  
Vol 13 (11) ◽  
pp. 82
Author(s):  
V. R. Bernardo ◽  
R. G. Zampieron ◽  
L. Y. Sheng ◽  
M. A. R. Rissato ◽  
R. C. Z. Leitzke
Keyword(s):  
Blood Pressure ◽  
Comparative Analysis ◽  
Arterial Hypertension ◽  
World Population ◽  
Pressure Measurements ◽  
Systemic Arterial Hypertension ◽  
Brazilian Society ◽  
Device Model ◽  
The World ◽  
Different Types

Systemic arterial hypertension is a disease that affects approximately 1.13 billion of the world population. This paper aims to analyze the values obtained through blood pressure measurements by three different types of devices, namely: aneroid, semiautomatic and automatic, in participants who demanded assistance in the extension project “Consultório Farmacêutico” (Single Health System/SUS) in Sinop, MT, twice a week, with blood pressure measurements, following the guidelines of the Brazilian Society of Hypertension, and the manual of each device, which describe the techniques for measuring blood pressure in its particularities. The survey was carried out from February 2017 to April 2018. At the end of each measurement, the results were recorded and analyzed, being compared among each other. By the statistical analyzes carried out, it was possible to compare the blood pressure measurements obtained with an auscultatory method and two oscillometric methods, making it possible to verify and guide each patient who preferably uses only one device model in their measurements, since the variation of methods that the devices can present, can be harmful and confuse to the patient, because depending on the values found, they may worry the mentioned patient in carrying out his self-care.

Menstruation Among Adolescent Girls Living in Rural Border Areas

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Ritu Gupta ◽  
Ravinder K Gupta ◽  
Vallabh Dogra ◽  
Himani Badyal
Keyword(s):  
Abdominal Pain ◽  
Menstrual Cycle ◽  
Blood Loss ◽  
Prospective Study ◽  
Adolescent Girls ◽  
Common Side Effect ◽  
Age Group ◽  
Different Types ◽  
Study Population ◽  
Border Areas

Objective: To study the various beliefs and problems regarding menstruation among adolescent girls living in rural border areas. Design- Prospective study. Setting- Pediatric outpatient clinic. Materials and methods- About 200 adolescent girls (11-19 years) living in rural border areas were enrolled for the study. These girls were asked about menarche, duration of the cycle, amount of blood loss and the various menstrual problems. They were also asked about the various beliefs and myths regarding menstruation. The girls having any illness affecting the menstrual cycle or those suffering from neuropsychiatric disorders were excluded from this study. Results- About 51% of the study population was in the age group 17-18 years. About 43.5% of girls attained menarche at the age of 10-12 years. About 51% of girls did not know about menstruation before menarche. Abdominal pain was the most common side effect seen in 41% of girls during menstruation. About 61% of girls considered themselves unclean during menstruation.  Twenty percent avoided schools, 20% avoided kitchen, 12% avoided temples while 10% stayed away from friends/ relatives. Only 33% of girls knew that menstruation stops temporarily after becoming pregnant. Twenty-two percent girls were using sanitary napkins while the rest used different types of clothes during the menstrual cycle. Conclusion- There is a dire need to educate girls regarding menstruation before menarche in the rural border areas. Every mother should discuss in a friendly way regarding various aspects of menstruation.

Comparative Analysis of Machine Learning Techniques Using Predictive Modeling

2020 ◽  
Vol 13 ◽  
Author(s):  
Ritu Khandelwal ◽  
Hemlata Goyal ◽  
Rajveer Singh Shekhawat
Keyword(s):  
Machine Learning ◽  
Comparative Analysis ◽  
Data Science ◽  
Training Data ◽  
Machine Learning Techniques ◽  
Future Trends ◽  
Data Set ◽  
Learning Stage ◽  
Learning Techniques ◽  
Different Types

Introduction: Machine learning is an intelligent technology that works as a bridge between businesses and data science. With the involvement of data science, the business goal focuses on findings to get valuable insights on available data. The large part of Indian Cinema is Bollywood which is a multi-million dollar industry. This paper attempts to predict whether the upcoming Bollywood Movie would be Blockbuster, Superhit, Hit, Average or Flop. For this Machine Learning techniques (classification and prediction) will be applied. To make classifier or prediction model first step is the learning stage in which we need to give the training data set to train the model by applying some technique or algorithm and after that different rules are generated which helps to make a model and predict future trends in different types of organizations. Methods: All the techniques related to classification and Prediction such as Support Vector Machine(SVM), Random Forest, Decision Tree, Naïve Bayes, Logistic Regression, Adaboost, and KNN will be applied and try to find out efficient and effective results. All these functionalities can be applied with GUI Based workflows available with various categories such as data, Visualize, Model, and Evaluate. Result: To make classifier or prediction model first step is learning stage in which we need to give the training data set to train the model by applying some technique or algorithm and after that different rules are generated which helps to make a model and predict future trends in different types of organizations Conclusion: This paper focuses on Comparative Analysis that would be performed based on different parameters such as Accuracy, Confusion Matrix to identify the best possible model for predicting the movie Success. By using Advertisement Propaganda, they can plan for the best time to release the movie according to the predicted success rate to gain higher benefits. Discussion: Data Mining is the process of discovering different patterns from large data sets and from that various relationships are also discovered to solve various problems that come in business and helps to predict the forthcoming trends. This Prediction can help Production Houses for Advertisement Propaganda and also they can plan their costs and by assuring these factors they can make the movie more profitable.

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