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Análise Retrospectiva de Fatores de Risco e Preditores de Complicações Intraoperatórias dos Bloqueios do Neuroeixo Realizados na Faculdade de Medicina de Botucatu-UNESP

dc.contributor.authorPereira, Ivan Dias Fernandes [UNESP]
dc.contributor.authorGrando, Marcela Miguel [UNESP]
dc.contributor.authorVianna, Pedro Thadeu Galvão [UNESP]
dc.contributor.authorBraz, José Reinaldo Cerqueira [UNESP]
dc.contributor.authorCastiglia, Yara Marcondes Machado [UNESP]
dc.contributor.authorVane, Luís Antônio [UNESP]
dc.contributor.authorMódolo, Norma Sueli Pinheiro [UNESP]
dc.contributor.authorJúnior, Paulo do Nascimento [UNESP]
dc.contributor.authorAmorim, Rosa Beatriz [UNESP]
dc.contributor.authorJúnior, Geraldo Rolim Rodrigues [UNESP]
dc.contributor.authorBraz, Leandro Gobbo [UNESP]
dc.contributor.authorGanem, Eliana Marisa [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversidade Estadual de Maringá (UEM)
dc.contributor.institutionIC-FAPESP
dc.date.accessioned2022-04-29T00:50:31Z
dc.date.available2022-04-29T00:50:31Z
dc.date.issued2011-09-01
dc.description.abstractBackground and objectives: Cardiovascular changes associated with neuraxial blocks are a cause of concern due to their frequency and because some of them can be considered physiological effects triggered by the sympathetic nervous system blockade. The objective of this study was to evaluate intraoperative cardiovascular complications and predictive factors associated with neuraxial blocks in patients ≥ 18 years of age undergoing non-obstetric procedures over an 18-year period in a tertiary university hospital - HCFMB-UNESP. Methods: A retrospective analysis of the following complications was undertaken: hypertension, hypotension, sinus bradycardia, and sinus tachycardia. These complications were correlated with anesthetic technique, physical status (ASA), age, gender, and preoperative co-morbidities. The Tukey test for comparisons among proportions and logistic regression was used for statistical analysis. Results: 32,554 patients underwent neuraxial blocks. Intraoperative complications mentioned included hypotension (n = 4,109), sinus bradycardia (n = 1,107), sinus tachycardia (n = 601), and hypertension (n = 466). Hypotension was seen more often in patients undergoing continuous subarachnoid anesthesia (29.4%, OR = 2.39), ≥ 61 years of age, and female (OR = 1.27). Conclusions: Intraoperative hypotension and bradycardia were the complications observed more often. Hypotension was related to anesthetic technique (CSA), increased age, and female. Tachycardia and hypertension may not have been directly related to neuraxial blocks. © 2011 Elsevier Editora Ltda.en
dc.description.affiliationUNESP
dc.description.affiliationThe Hospital Universitário da UEM Hospital do Câncer de Maringá Hospital Metropolitano de Sarandi
dc.description.affiliationFMB-UNESP
dc.description.affiliationAnesthesiology Department FMB-UNESP
dc.description.affiliationPhysician at Anesthesiology Department FMB-UNESP
dc.description.affiliationIC-FAPESP
dc.description.affiliationUnespUNESP
dc.description.affiliationUnespFMB-UNESP
dc.description.affiliationUnespAnesthesiology Department FMB-UNESP
dc.description.affiliationUnespPhysician at Anesthesiology Department FMB-UNESP
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent568-581
dc.identifierhttp://dx.doi.org/10.1016/S0034-7094(11)70068-X
dc.identifier.citationRevista Brasileira de Anestesiologia, v. 61, n. 5, p. 568-581, 2011.
dc.identifier.doi10.1016/S0034-7094(11)70068-X
dc.identifier.issn0034-7094
dc.identifier.issn1806-907X
dc.identifier.scopus2-s2.0-80053060578
dc.identifier.urihttp://hdl.handle.net/11449/226533
dc.language.isoeng
dc.language.isopor
dc.relation.ispartofRevista Brasileira de Anestesiologia
dc.sourceScopus
dc.subjectAnesthesia, Epidural
dc.subjectAnesthesia, Spinal
dc.subjectArrhythmias, Cardiac
dc.subjectHypertension
dc.subjectHypotension
dc.subjectIntraoperative Complications
dc.titleAnálise Retrospectiva de Fatores de Risco e Preditores de Complicações Intraoperatórias dos Bloqueios do Neuroeixo Realizados na Faculdade de Medicina de Botucatu-UNESPpt
dc.title.alternativeRetrospective analysis of risk factors and predictors of intraoperative complications in neuraxial blocks at faculdade de medicina de botucatu-UNESPen
dc.typeArtigo
dspace.entity.typePublication
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatupt
unesp.departmentAnestesiologia - FMBpt

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