Your browser doesn't support javascript.
loading
Unexpectedly prolonged fasting and its consequences on elderly patients undergoing spinal anesthetics. A prospective observational study
Yeniay, Oguzhan; Tekgul, Zeki Tuncel; Okur, Onur; Koroglu, Noyan.
Afiliação
  • Yeniay, Oguzhan; Izmir Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital. Department of Intensive Care. Izmir. TR
  • Tekgul, Zeki Tuncel; Izmir Bozyaka Training and Research Hospital. Department of Anesthesiology and Reanimation. İzmir. TR
  • Okur, Onur; Istanbul Okmeydani Training and Research Hospital. Department of Anesthesiology and Reanimation. Istanbul. TR
  • Koroglu, Noyan; Izmir Katip Celebi University. Ataturk Training and Research Hospital. Department of Anesthesiology and Reanimation. Izmir. TR
Acta cir. bras ; Acta cir. bras;34(3): e201900309, 2019. tab, graf
Article em En | LILACS | ID: biblio-989068
Biblioteca responsável: BR1.1
ABSTRACT
Abstract

Purpose:

To measure the preoperative fasting durations with respect to time of the day and its effect on vital parameters and electrocardiogram in elderly patients undergoing surgery under spinal anesthesia.

Methods:

This study investigated 211 patients older than 60 years undergoing elective surgery under spinal anesthesia. Patients scheduled for surgery in morning hours (AM) and afternoon hours (PM) were compared. Patients fasting hours and repeated measurements of mean arterial pressure (MAP), heart rate (HR), peripheral oxygen saturation (Sp02) and the type and number of ischemic electrocardiogram (ECG) signs were recorded and compared [preoperative, zeroth, 2nd,5th,15th,30th minutes following spinal anesthesia(SA)].

Results:

Mean fasting durations were 12±2.8 and 9.5±2.1 hours in AM group and 15.5±3.4 12.7±4.4 hours in PM group for foods and liquids respectively. ECG changes were significantly more frequent in PM group and body temperatures were significantly higher in AM group patients.

Conclusion:

Our study has shown that fasting times in our population is far longer than recommended and fasting prolonged>15 hours is related to a transiently increased cardiac stress and mild hypothermia.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Jejum / Procedimentos Cirúrgicos Eletivos / Pressão Arterial / Frequência Cardíaca / Raquianestesia Tipo de estudo: Observational_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Acta cir. bras Assunto da revista: Cirurgia Geral / Procedimentos Cir£rgicos Operat¢rios Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Jejum / Procedimentos Cirúrgicos Eletivos / Pressão Arterial / Frequência Cardíaca / Raquianestesia Tipo de estudo: Observational_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Acta cir. bras Assunto da revista: Cirurgia Geral / Procedimentos Cir£rgicos Operat¢rios Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil