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Journals / Türk Geriatri Dergisi / 2006 / Cilt: 9 - Sayı: 3

Evaluation of hypotension due to spinal anesthesia in elderly over 65 years of age

65 yaş üstü hastalarda spinal anesteziye bağlı hipotansiyon gelişiminin değerlendirilmesi

Osman Nuri AYDIN
Feray GÜRSOY
Güzel DİŞCİGİL
Selda ŞEN
Mustafa UĞURLU
Bakiye UĞUR
Pages
126–129
Publication Date
2022-11-04
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Chronic conditions such as diabetes and hypertension, ASA (American Society of Anesthesiologists) classification, body-mass index, operation type (urology, orthopedics and general surgery) and sensory block level due to hypotension after spinal anesthesia were evaluated in all patients.Results: Sensory block level (OR=15.3, p=0.001) and presence of chronic disease (OR=16.47, p=0.0001) were influencing factors on hypotension during spinal anesthesia, but not age.Conclusion: Chronic conditions such as hypertension and high sensory block levels were influencing factors on hypotension in elderly patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Background and Aim: Spinal anesthesia has advantages when compared to general anesthesia but it has some disadvantages also such as bradycardia and hypotension.
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Key Findings & Data:We aimed to evaluate hypotension during spinal anesthesia and associated factors in elderly.Materials and Methods: One hundred and nineteen elderly operated under spinal anesthesia in Adnan Menderes University hospital between May and December 2004 were evaluated retrospectively.
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Conclusion & Impact:Chronic conditions such as diabetes and hypertension, ASA (American Society of Anesthesiologists) classification, body-mass index, operation type (urology, orthopedics and general surgery) and sensory block level due to hypotension after spinal anesthesia were evaluated in all patients.Results: Sensory block level (OR=15.3, p=0.001) and presence of chronic disease (OR=16.47, p=0.0001) were influencing factors on hypotension during spinal anesthesia, but not age.Conclusion: Chronic conditions such as hypertension and high sensory block levels were influencing factors on hypotension in elderly patients.
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Domain Parameters

Abstract

Background and Aim: Spinal anesthesia has advantages when compared to general anesthesia but it has some disadvantages also such as bradycardia and hypotension. We aimed to evaluate hypotension during spinal anesthesia and associated factors in elderly.Materials and Methods: One hundred and nineteen elderly operated under spinal anesthesia in Adnan Menderes University hospital between May and December 2004 were evaluated retrospectively. Chronic conditions such as diabetes and hypertension, ASA (American Society of Anesthesiologists) classification, body-mass index, operation type (urology, orthopedics and general surgery) and sensory block level due to hypotension after spinal anesthesia were evaluated in all patients.Results: Sensory block level (OR=15.3, p=0.001) and presence of chronic disease (OR=16.47, p=0.0001) were influencing factors on hypotension during spinal anesthesia, but not age.Conclusion: Chronic conditions such as hypertension and high sensory block levels were influencing factors on hypotension in elderly patients.

Özet

Giriş ve Amaç: Yaşlı hastalarda spinal anestezi genel anesteziye göre bazı avantajlar sağlamasına rağmen hipotansiyon ve bradikardi gibi dezavantajları da beraberinde getirebilir. Çalışmamızda yaşlı hastalarda, spinal anestezi sırasında hipotansiyon gelişimini ve ilgili faktörleri incelemeyi amaçladık.Yöntem ve Gereç: Retrospektif olarak planlanan çalışmamızda, Adnan Menderes Üniversitesi Tıp Fakültesi hastanesinde Mayıs Aralık 2004 tarihleri arasında spinal anestezi altında opere edilen 65 yaş üstü 119 hasta değerlendirmeye alındı. Yaş, kronik hastalıkların varlığı (diyabet, hipertansiyon), ASA (American Society of Anesthesiologists) sınıflaması, beden kitle indeksi, operasyon tipi (üroloji, ortopedi ve genel cerrahi ve spinal anestezi sonrasında gelişen hipotansiyon ile duyusal blok seviyesi açısından değerlendirildi.Bulgular: Duyusal blok seviyesi (OR= 15.3, p=0.001) ve kronik hastalık varlığının (OR=16.47, p=0.0001) hipotansiyon gelişimini etkileyen faktörler olduğu saptandı. Yaş düzeyindeki artışın ise etkili olmadığı görüldü.Sonuç: Yaşlı hastalarda kronik hastalıkların varlığı ve yüksek duyusal blok seviyelerinin hipotansiyon gelişmesinde etkili faktörler olduğunu gözlemledik.

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Cite This Article

AYDIN, O. N., GÜRSOY, F., DİŞCİGİL, G., ŞEN, S., UĞURLU, M., UĞUR, B. (2022). Evaluation of hypotension due to spinal anesthesia in elderly over 65 years of age. Türk Geriatri Dergisi, Cilt: 9 - Sayı: 3, 126–129. https://ajindex.com/articles/624316

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