Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics

Detalhes bibliográficos
Autor(a) principal: V.M. Collares, Marcus
Data de Publicação: 2022
Outros Autores: Planas, Jaime, de A. Pinto, Rinaldo, C. Chem, Roberto
Tipo de documento: Artigo
Idioma: por
Título da fonte: Clinical and Biomedical Research
Texto Completo: https://seer.ufrgs.br/index.php/hcpa/article/view/125220
Resumo: OBJECTIVE: To determine the extension of hemodynamic changes in patients submitted to rhinoplasty under local anesthesia.MATERIALS AND METHODS: One hundred consecutive patients were investigated. They were operated between September 1988 and February 1989 at Clinica Planas,Barcelona, Spain. The evaluation included continuous monitoring of patients’ heart rate, arterial pressure, oxygen saturation, cardiac rhythm, and consciousness level throughout the procedure.RESULTS: The curve of arterial pressure variation was in accordance with the adrenaline peak, when injected subcutaneously (slower). This underscores theimportance of waiting at least 20 minutes before starting the procedure, in order to have the best vasoconstrictive effect. Sinus tachycardia is the most remarkable rhythmalteration observed in this study. It is present in almost all patients at the adrenaline peak. Hemodynamic alterations, mainly arterial hypertension, must be carefully observed, especially on predisposed patients.CONCLUSION: When the patient receives adequate preoperative care and intraoperative monitoring, rhinoplasty under local anesthesia is a safe procedure.
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spelling Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anestheticsAvaliação das alterações hemodinâmicas e do sensório em pacientes submetidos à rinoplastia estética sob anestesia localrinosplastiaanestesia localefeitos hemodinâmicossedaçãoRhinoplastylocal anestheticshemodynamic effectssedationOBJECTIVE: To determine the extension of hemodynamic changes in patients submitted to rhinoplasty under local anesthesia.MATERIALS AND METHODS: One hundred consecutive patients were investigated. They were operated between September 1988 and February 1989 at Clinica Planas,Barcelona, Spain. The evaluation included continuous monitoring of patients’ heart rate, arterial pressure, oxygen saturation, cardiac rhythm, and consciousness level throughout the procedure.RESULTS: The curve of arterial pressure variation was in accordance with the adrenaline peak, when injected subcutaneously (slower). This underscores theimportance of waiting at least 20 minutes before starting the procedure, in order to have the best vasoconstrictive effect. Sinus tachycardia is the most remarkable rhythmalteration observed in this study. It is present in almost all patients at the adrenaline peak. Hemodynamic alterations, mainly arterial hypertension, must be carefully observed, especially on predisposed patients.CONCLUSION: When the patient receives adequate preoperative care and intraoperative monitoring, rhinoplasty under local anesthesia is a safe procedure.OBJETIVO: Determinar as alterações hemodinâmicas em pacientes submetidos à rinoplastia estética sob anestesia local.MÉTODO: Foram investigados 100 pacientes consecutivos submetidos à rinoplastia estética sob anestesia local e sedação, no período de setembro de 1988 a fevereiro de 1989, na Clínica Planas, Barcelona, Espanha. A avaliação foi feita pela monitorização da freqüência cardíaca, pressão arterial sistêmica, saturação do oxigênio, ritmo cardíaco e nível de consciência do paciente, continuamente, do início ao término da intervenção.RESULTADOS: A curva de variação da pressão arterial esteve de acordo com o pico de ação da adrenalina, quando injetada subcutaneamente (mais lento), demonstrando a importância de esperar ao redor de 20 minutos após a injeção local para a obtençãode um efeito vasoconstritor ótimo. A taquicardia sinusal é a alteração de ritmo mais marcante neste estudo, aparecendo no pico de ação da adrenalina em quase todos os pacientes. As alterações hemodinâmicas, notadamente a hipertensão arterial, devem merecer cuidados, principalmente em pacientes predispostos.CONCLUSÃO: Quando o paciente está adequadamente assistido e monitorizado, a rinoplastia sob anestesia local é um procedimento seguro.HCPA/FAMED/UFRGS2022-06-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleAvaliado por Paresapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/125220Clinical & Biomedical Research; Vol. 19 No. 2 (1999): Revista HCPAClinical and Biomedical Research; v. 19 n. 2 (1999): Revista HCPA2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/hcpa/article/view/125220/85171http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessV.M. Collares, Marcus Planas, Jaime de A. Pinto, Rinaldo C. Chem, Roberto 2022-06-13T13:38:55Zoai:seer.ufrgs.br:article/125220Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2022-06-13T13:38:55Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.none.fl_str_mv Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
Avaliação das alterações hemodinâmicas e do sensório em pacientes submetidos à rinoplastia estética sob anestesia local
title Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
spellingShingle Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
V.M. Collares, Marcus
rinosplastia
anestesia local
efeitos hemodinâmicos
sedação
Rhinoplasty
local anesthetics
hemodynamic effects
sedation
title_short Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
title_full Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
title_fullStr Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
title_full_unstemmed Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
title_sort Evaluation of the hemodynamic and sensorial alterations in patients submitted to esthetic rhinoplasty under local anesthetics
author V.M. Collares, Marcus
author_facet V.M. Collares, Marcus
Planas, Jaime
de A. Pinto, Rinaldo
C. Chem, Roberto
author_role author
author2 Planas, Jaime
de A. Pinto, Rinaldo
C. Chem, Roberto
author2_role author
author
author
dc.contributor.author.fl_str_mv V.M. Collares, Marcus
Planas, Jaime
de A. Pinto, Rinaldo
C. Chem, Roberto
dc.subject.por.fl_str_mv rinosplastia
anestesia local
efeitos hemodinâmicos
sedação
Rhinoplasty
local anesthetics
hemodynamic effects
sedation
topic rinosplastia
anestesia local
efeitos hemodinâmicos
sedação
Rhinoplasty
local anesthetics
hemodynamic effects
sedation
description OBJECTIVE: To determine the extension of hemodynamic changes in patients submitted to rhinoplasty under local anesthesia.MATERIALS AND METHODS: One hundred consecutive patients were investigated. They were operated between September 1988 and February 1989 at Clinica Planas,Barcelona, Spain. The evaluation included continuous monitoring of patients’ heart rate, arterial pressure, oxygen saturation, cardiac rhythm, and consciousness level throughout the procedure.RESULTS: The curve of arterial pressure variation was in accordance with the adrenaline peak, when injected subcutaneously (slower). This underscores theimportance of waiting at least 20 minutes before starting the procedure, in order to have the best vasoconstrictive effect. Sinus tachycardia is the most remarkable rhythmalteration observed in this study. It is present in almost all patients at the adrenaline peak. Hemodynamic alterations, mainly arterial hypertension, must be carefully observed, especially on predisposed patients.CONCLUSION: When the patient receives adequate preoperative care and intraoperative monitoring, rhinoplasty under local anesthesia is a safe procedure.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-13
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
Avaliado por Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/125220
url https://seer.ufrgs.br/index.php/hcpa/article/view/125220
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/125220/85171
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv HCPA/FAMED/UFRGS
publisher.none.fl_str_mv HCPA/FAMED/UFRGS
dc.source.none.fl_str_mv Clinical & Biomedical Research; Vol. 19 No. 2 (1999): Revista HCPA
Clinical and Biomedical Research; v. 19 n. 2 (1999): Revista HCPA
2357-9730
reponame:Clinical and Biomedical Research
instname:Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
instname_str Universidade Federal do Rio Grande do Sul (UFRGS)
instacron_str UFRGS
institution UFRGS
reponame_str Clinical and Biomedical Research
collection Clinical and Biomedical Research
repository.name.fl_str_mv Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)
repository.mail.fl_str_mv ||cbr@hcpa.edu.br
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