Prediction of Hemodynamic Reactivity during Sevoflurane Remifentanyl Anesthesia for Laparoscopic Cholecystectomy Using Analgesia Nociception Index

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dc.WoS.categoriesMedicine, General & Internalen_US
dc.contributor.authorGül, Yaşar Gökhan
dc.contributor.authorKöprülü, Ali Şefik
dc.contributor.authorToptaş, Mehmet
dc.contributor.authorHaspolat, Ali
dc.contributor.authorYılmaz, Halime
dc.contributor.authorÖzenç, Ecder
dc.date.accessioned2020-11-06T12:37:46Z
dc.date.available2020-11-06T12:37:46Z
dc.date.issued2016-12
dc.description.abstractAim: Pneumoperitoneum may cause serious side effects in high-risk patients during laparoscopic cholecystectomy. Perioperative analgesic sufficiency has been measured by the Analgesia Nociception index (ANI) in recent years. We examine the possibility of predicting hemodynamic reactivity by observing sudden changes in ANI during operation. Methods: In this retrospective study, recorded hemodynamic parameters (including heart rate, systolic/diastolic blood pressure values) and ANI values, before and after intubation, nasogastric tube application, intraperitoneal gas insufflation, and surgical incision in 31 patients who were applied laparoscopic cholecystectomy were compared by paired t-test. Additionally, an increment or decrement of 20% in ANI and 15% in hemodynamic parameters with respect to basal observation values were called "sudden changes". Correlation of these parameters with sudden changes in ANI values was examined either. Results: There was a statistically significant difference in parameters after premedication and intubation. After induction, a statistically significant decrement was detected only in heart rate and systolic/diastolic blood pressure values. There was no significant change after nasogastric tube insertion. During pneumoperitoneum and surgical incision, there was no change in heart rate and systolic/diastolic blood pressure values, but a statistically significant decrement was observed in ANI. No correlation was detected between sudden changes in ANI values and hemodynamic parameters. Conclusion: We assume that use of ANI in analgesia evaluation under general anesthesia at perioperative period is suitable, however, it is not reliable in predicting hemodynamic interaction.en_US
dc.fullTextLevelFull Texten_US
dc.identifier.doi10.4274/haseki.3161
dc.identifier.issn2147-2688
dc.identifier.issn1302-0072
dc.identifier.urihttps://hdl.handle.net/11411/2506
dc.identifier.urihttps://doi.org/10.4274/haseki.3161
dc.identifier.wosWOS:000391200000004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.issue4en_US
dc.language.isotren_US
dc.nationalInternationalen_US
dc.numberofauthors6en_US
dc.pages212-218en_US
dc.publisherGalenos Yayıncılıken_US
dc.relation.ispartofHASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKIen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopic cholecystectomyen_US
dc.subjectAnalgesia Nociception indexen_US
dc.subjectprediction of hemodynamic reactivityen_US
dc.titlePrediction of Hemodynamic Reactivity during Sevoflurane Remifentanyl Anesthesia for Laparoscopic Cholecystectomy Using Analgesia Nociception Index
dc.title.alternativeSevofluran Remifentanil Anestezisiyle Laparoskopik Kolesistektomi Uygulanan Hastalarda Analjezi Nosisepsiyon İndeksi Kullanılarak Hemodinamik Reaktivite Tahmini
dc.typeArticle
dc.volume54en_US

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