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Signa vitae : journal for intesive care and emergency medicine, Vol. Volume 14 No. Supplement 1, 2018.

Original scientific paper

Postintubation hypotension in elective surgery patients: a retrospective study

VIŠNJA NESEK ADAM orcid id orcid.org/0000-0002-6521-4136 ; Sveti Duh 64, 10000 Zagreb, Croatia
NIKOLINA BERNATOVIĆ
NIKA JURKIĆ
TATJANA GORANOVIĆ
MIROSLAVA JAKŠIĆ
TEA MEDVED

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Abstract

Objective. Postintubation hypotension
(PIH) is a common and recognized adverse
event associated with poor outcomes
in emergency medicine patients requiring
endotracheal intubation. Our objectives
were to determine the incidence of PIH
following tracheal intubation in elective
surgery patients.
Materials and Methods. A retrospective
study by reviewing the anesthesia records
of all patients presenting for elective surgery
requiring tracheal intubation between
February 1, 2017, and March 1, 2017
was performed. Patients were divided into
2 groups according to the severity of the
operation: Group S1 (major surgery) and
Group S2 (minor surgery). Te primary
outcome measure was the incidence of
PIH. PIH was claimed when systolic blood
pressure (SBP) decreased below 90 mm
Hg or decreased more than 20% from the
baseline in two consecutive measurements
at least 15 minutes afer intubation. Secondary
outcome measures included the
relationship between PIH and anesthetic
induction agents used to facilitate ETI and
ASA physical status.
Results. A total of 291 elective surgery
patients were identifed. Te primary outcome
of PIH was observed in 10.3% with
no diference between study groups (major
surgery-10.2% vs. minor surgery-10.3%).
Most of the patients who developed PIH
were ASA II score (76.6%) and propofol
was the most commonly used intravenous
anesthetic associated with hypotension
(96.7%).
Conclusion. Although a transient decrease
in systolic and diastolic blood pressure has
been reported in most patients undergoing
intubation for elective surgery, development
of PIH occured only in 10.3% of
patients. Most of the patients who developed
PIH were administered propofol.

Keywords

post-intubation hypotension; elective surgery; endotracheal intubation; adverse events

Hrčak ID:

195358

URI

https://hrcak.srce.hr/195358

Publication date:

1.3.2018.

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