Cardiovascular autonomic response during preoperative stress and postoperative pain

Heller, Philip H.; Perry, Franklin; Naifeh, Karen H.; Gordon, Newton C.; Wachter-Shikura, Nancy; Levine, Jon D.

doi:10.1016/0304-3959(84)90124-6

Cited by 33 publications

(23 citation statements)

References 15 publications

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“…Pain is a complex mechanism and it involves several structures of central nervous system, and one among them is ANS [30]. Pain is reportedly associated with changes in autonomic dysfunction such as sweating, BP variations, and giddiness [31]. Moreover, greater HRV is associated with decreased pain sensitivity in normal subjects as assessed by FPS [13].…”

Section: Discussionmentioning

confidence: 99%

Influence of Cancer Severity and Functional Status of Cancer on Cardiac Parasympathetic Indicators

Bijoor

Banerjee

Subbalakshmi

2017

Asian J Pharm Clin Res

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Objective: To investigate the influence of cancer severity and functional status of cancer patients on cardiac parasympathetic indicators. Methods:A total of 267 patients with a fresh clinical diagnosis of solid malignant tumor not yet put on cancer therapy and 250 controls matched for age, sex of study subjects were included. Severity of cancer was defined based on the American Joint Committee on Cancer staging. Accordingly, study subjects were subdivided into early stage (Stage I and II combined) and advanced stage (Stage III and IV combined). In cancer patients, the Eastern Cooperative Oncology Group (ECOG) performance score and the Faces Pain Scale score (FPS) was noted. Two indicators of vagal function, expiratory:inspiratory ratio (E:I ratio) and root mean square of successive N-N interval difference (r-MSSD) were included. E:I ratio during deep breathing at six respiratory cycles/minute and r-MSSD at rest was obtained from 1 minute lead II electrocardiogram. Data were analyzed by applying suitable statistical tests. p≤0.05 was considered significant.Results: R-MSSD and E:I ratio was significantly reduced in the early and advanced stage of cancer compared to controls (p≤0.0001). r-MSSD and E:I ratio was significantly reduced in advanced stage compared to the early stage of cancer (p≤0.0001). r-MSSD and E:I ratio was significantly different in subgroups of stages of cancer and controls (p≤0.0001). In cancer patients, r-MSSD was negatively correlated with ECOG and FPS score (p≤0.0278, p≤0.0100). Conclusion:Severity of cancer affects vagal function. However, r-MSSD alone was associated with functional status (ECOG, FPS) of cancer patients.

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Section: Discussionmentioning

confidence: 99%

Influence of Cancer Severity and Functional Status of Cancer on Cardiac Parasympathetic Indicators

Bijoor

Banerjee

Subbalakshmi

2017

Asian J Pharm Clin Res

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“…The continuous observation of ECG for 24 hours showed that 55% of patients of Group B and 10% of Group A had ventricular dysrhythmias. Dysrhythmias are common complications in immediate postoperative period 17,18 , even more common after thorax surgeries. A study registered dysrhythmias in the postoperative period of 20% of 185 patients undergoing thoracotomies 19 .…”

Section: Discussionmentioning

confidence: 99%

Controle da dor por bloqueio peridural e incidência de disritmias cardíacas no pós-operatório de procedimentos cirúrgicos torácicos e abdominais altos: estudo comparativo

Oliveira¹,

Tenório²,

Tanaka³

et al. 2012

Rev. Bras. Anestesiol.

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Background and objectives:Upper abdomen and thorax surgeries cause intense pain. Some of postoperative pain main complications are cardiocirculatory complications. The objective of this study was to test the hypothesis that postoperative analgesia with employment of local anesthetics plus spinal opioids may reduce the incidence of cardiovascular complications in postoperative period of patients in these conditions, comparing with classical methods of postoperative analgesia, opioids and NSAIDs, administered upon patient's demand.

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“…This route avoids first-pass metabolism by the liver, and hence significant amounts of drugs can enter the systemic circulation [27]. However, some of the complications may be attributable to the psychological stress resulting from the odd and agitating circumstances accompanying LA and surgery [28, 29]. Thus, it could be assumed that bioavailability of the agents and the mode of application puts less strain on the individual in TA compared to PBA.…”

Section: Discussionmentioning

confidence: 99%

Systemic Adverse Events: A Comparison between Topical and Peribulbar Anaesthesia in Cataract Surgery

Stupp

Hassouna²,

Soppart

et al. 2007

Ophthalmologica

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Aims: To evaluate the safety of topical anaesthesia (TA) versus peribulbar anaesthesia (PBA) in patients undergoing routine cataract surgery on the basis of systemic adverse events. Methods: In this retrospective study, a total of 2,020 consecutive cases of cataract surgery performed by one surgeon on 1,621 patients with PBA (n = 1,010; between 1998–1999) or TA (n = 1,010; between 1999–2001) were evaluated on the basis of intra-operative and early postoperative adverse events requiring medical intervention. Results: The rate of pre-existing risk factors in patients undergoing cataract surgery is high (97%). Complications are significantly less frequent in TA than in PBA in the intra-operative (p < 0.001) and postoperative (p = 0.022) courses. The incidence of intra-operative complications is higher in elderly patients (≧65 years of age) than in younger patients (p < 0.001). Conclusion: The results from the present study indicate that intra-operative complications are less likely in patients that receive TA, suggesting the use of TA for routine cataract surgery both in young patients and particularly in elderly patients when there are no contraindications in the individual case.

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Cardiovascular autonomic response during preoperative stress and postoperative pain

Cited by 33 publications

References 15 publications

Influence of Cancer Severity and Functional Status of Cancer on Cardiac Parasympathetic Indicators

Influence of Cancer Severity and Functional Status of Cancer on Cardiac Parasympathetic Indicators

Controle da dor por bloqueio peridural e incidência de disritmias cardíacas no pós-operatório de procedimentos cirúrgicos torácicos e abdominais altos: estudo comparativo

Systemic Adverse Events: A Comparison between Topical and Peribulbar Anaesthesia in Cataract Surgery

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