Bibliometric and visual analysis of intraoperative hypotension from 2004 to 2022 DOI Creative Commons

Jieyan Wang,

Zile Liu,

Yawen Bai

et al.

Frontiers in Cardiovascular Medicine, Journal Year: 2023, Volume and Issue: 10

Published: Nov. 16, 2023

Background Intraoperative hypotension (IOH) is a common complication occurring in surgical practice. This study aims to comprehensively review the collaboration and impact of countries, institutions, authors, journals, keywords, critical papers on intraoperative from perspective bibliometric, evaluate evolution knowledge structure clustering identify research hotspots emerging topics. Methods Articles reviews related IOH published 2004 2022 were retrieved Web Science Core Collection. Bibliometric analyses visualization conducted Excel, CiteSpace, VOSviewer, Bibliometrix (R-Tool R-Studio). Results A total 1,784 articles included 2022. The number gradually increased past few years, peaked 2021. These publications chiefly 1,938 institutions 40 led by America China publications. Sessler Daniel I most enjoyed highest citations. Analysis journals with outputs showed that concentrated perioperative medicine clinical anesthesiology. Delirium, acute kidney injury vasoconstrictor agents are current developing hotspots. keywords “Acute injury”, “postoperative complication”, “machine learning”, “risk factors” “hemodynamic instability” may also become new trends focuses near future research. Conclusion uses bibliometrics methods hypotension, which helpful for scholars better understand dynamic provide directions

Language: Английский

PeriOperative Quality Initiative (POQI) international consensus statement on perioperative arterial pressure management DOI Creative Commons
Bernd Saugel, Nick Fletcher, Tong J. Gan

et al.

British Journal of Anaesthesia, Journal Year: 2024, Volume and Issue: 133(2), P. 264 - 276

Published: June 4, 2024

Arterial pressure monitoring and management are mainstays of haemodynamic therapy in patients having surgery. This article presents updated consensus statements recommendations on perioperative arterial developed during the 11th POQI PeriOperative Quality Initiative (POQI) conference held London, UK, June 4–6, 2023, which included a diverse group international experts. Based modified Delphi approach, we recommend keeping intraoperative mean ≥60 mm Hg at-risk patients. We further increasing targets when venous or compartment pressures elevated treating hypotension based presumed underlying causes. When hypertension is treated, doing so carefully to avoid hypotension. Clinicians should consider continuous as it can help reduce severity duration compared intermittent monitoring. Postoperative often unrecognised might be more important than because prolonged untreated. Future research focus identifying patient-specific organ-specific harm thresholds optimal treatment strategies for including choice vasopressors. Research also needed guide recognising, preventing, postoperative

Language: Английский

Citations

24
Safety and efficacy of low-dose esketamine weakly opioidized anesthesia in elderly patients with lumbar spinal stenosis undergoing surgery: a prospective, double-blind randomized controlled trial DOI Creative Commons

Nina Hou,

Meng-Yun Zhang,

Yu-Wei Zhang

et al.

BMC Anesthesiology, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 5, 2025

The perioperative use of esketamine may reduce opioid and their adverse effects. We aimed to evaluate the intraoperative safety efficacy weak opioidized anesthesia with low-dose in treatment elderly patients lumbar spinal stenosis undergoing total laminectomy complete decompression interbody implant fusion. In total, 90 were randomized into three groups: HS group (0.2 mg/kg induction, 0.25 mg/(kg·h) infusion), LS 0.125 control (group C receiving an equal volume saline). primary outcome was cumulative dose sufentanil administered during period. Pain (VAS rest movement scores) on preoperative day 1 (POD-1), postoperative (POD1), 3 (POD3), 7 (POD7), serum levels tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), interleukin-6 (IL-6), interleukin-10 (IL-10) POD-1, POD1, POD3, POD7 secondary outcomes. also measured mean arterial pressure heart rate groups at each time point before (T0), immediately after intubation (T1), 5 min (T2), surgical skin incision (T3), extubation (T4), 30 surgery (T5), propofol remifentanil dosage, incidence reactions within days postoperatively, etc. dosage number PACU remedial analgesia significantly lower compared (P < 0.05). Cumulative 0.01). VAS dynamic static pain scores POD1 groups. There no significant difference among POD3 > At 0.05), whereas did not differ Compared C, TNF-α, IL-1β, IL-6 POD7. than Serum IL-10 increased hypotension T2 T4, had MAP HR decline group. T5, higher those T3 reduced respiratory depression between terms psychiatric reactions, such as hallucinations, nightmares, diplopia, somnolence, dizziness Low-dose is used for its anti-inflammatory analgesic effects spine patients. It beneficial hemodynamic stabilization can Among them, 0.2 induction mg/(kg-h) infusion more effective.

Language: Английский

Citations

1
Personalised blood pressure management during major noncardiac surgery and postoperative neurocognitive disorders: a randomised trial DOI Creative Commons

Julia Y. Nicklas,

Alina Bergholz,

Francesco Däke

et al.

BJA Open, Journal Year: 2024, Volume and Issue: 11, P. 100294 - 100294

Published: July 1, 2024

It remains unknown whether there is a causal relationship between intraoperative hypotension and postoperative neurocognitive disorders. We tested the hypothesis that personalised-compared to routine-intraoperative blood pressure management reduces incidence of disorders in patients having major noncardiac surgery.

Language: Английский

Citations

4
Influence of different anesthetic depth on postoperative delirium in elderly pre-frail patients undergoing abdominal surgery DOI Creative Commons

Rongman Chen,

Pengfei Hou,

Wanxin Liu

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 11, 2025

Abstract Purpose Monitoring anesthetic depth may reduce the incidence of postoperative delirium in patients undergoing general anesthesia. This study investigated impact varying readings Cerebral State Index (CSI) on elderly pre-frail abdominal surgery. Methods A total 150 aged over 65 years scheduled for selective surgery under anesthesia were enrolled. Pre-frailty was defined as a 5-Item Modified Frailty (mFI-5) score 1–2. Patients light (LA) group maintained CSI value between 50–59, while deep (DA) 40–49. The within three days postoperatively, well visual analog scale (VAS) scores, nausea, vomiting, and 15-item quality recovery (QoR-15) scores first day recorded compared. Results approximately 14% lower compared to (P < 0.05). QoR-15 significantly higher than In contrast, VAS following Conclusion (with high score) have better outcome. Trial registration: ChiCTR2400083016, Date 15/04/2025.

Language: Английский

Citations

0
Association between COVID-19 history and postoperative delirium in elderly patient undergoing elective surgery: a prospective, two-center observational cohort study DOI Creative Commons

Wen Duan,

Jin-Jin Yang,

Pan-Pan Fang

et al.

Anesthesiology and Perioperative Science, Journal Year: 2025, Volume and Issue: 3(1)

Published: Feb. 14, 2025

Abstract Purpose An increased incidence of delirium was reported in patients especially elderly patient during the acute phase coronavirus disease 2019 (COVID-19). However, whether COVID-19 history increases risk postoperative (POD) remains unclear. This study aims to investigate association between and POD undergoing elective surgeries. Methods In this prospective, two center cohort study, 500 surgeries from March May 2023 were analyzed. The primary exposure a COVID-19. outcome assessed with 3-min diagnostic confusion assessment method or for intensive care unit within three days after surgery. We used inverse probability treatment weighting (IPTW) balance differences without estimated using logistic regression model IPTW. Additionally, we next exploringly conducted subgroup analysis interaction effects evaluate impact on based frailty/pre-frailty, cancer, surgical type/classification, sex, profession, residence type. Results cohort, 412 had an 16% while 88 uninfected 15.9% incidence. There no [adjusted odds ratio (OR adj ) 1.20 (0.80–1.79), P = 0.378] significantly who pre-frailty/frailty cancers [OR 2.41 (1.19–5.10) OR 2.29 (1.23–4.39), respectively]. Conclusion preliminary exploratory found Trial registration Registered at Chinese Clinical Center ( https://www.chictr.org.cn/showproj.html?proj=192846 No. ChiCTR2300069308 Mar 13, 2023.

Language: Английский

Citations

0
Examining the Safety of Continuing Pre-Operative Renin-Angiotensin System Inhibitors in Non-Cardiac Surgery DOI

Carson Welker,

Jeffrey Huang,

Omar Elmadhoun

et al.

Journal of Cardiothoracic and Vascular Anesthesia, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0
Perioperative Risk Factors for Postoperative Cognitive Dysfunction after Cardiac Valve Replacement: A Retrospective Case-Control Study DOI

宗笑 李

Advances in Clinical Medicine, Journal Year: 2025, Volume and Issue: 15(04), P. 2370 - 2381

Published: Jan. 1, 2025

Language: Английский

Citations

0
Machine learning-based prediction of post-induction hypotension: identifying risk factors and enhancing anesthesia management DOI Creative Commons
Ming Chen, Dingyu Zhang

BMC Medical Informatics and Decision Making, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 22, 2025

Language: Английский

Citations

0
Effect of Fluid Therapy in Early Morning on the Incidence of Post-Induction Hypotension During Non-Cardiac Surgery After Noon: A Single-Center Retrospective Study DOI Creative Commons
Ying Zhang, Xinxin Wang,

Xiaoqiao Sang

et al.

Drug Design Development and Therapy, Journal Year: 2024, Volume and Issue: Volume 18, P. 1339 - 1347

Published: April 1, 2024

Purpose: Post-induction hypotension (PIH) is a common clinical phenomenon linked to increased morbidity and mortality in various non-cardiac surgeries.Patients with surgery the afternoon may have preoperative hypovolemia caused by prolonged fasting dehydration, which increases risk of during induction period.However, studies on fluid therapy early morning combating PIH remain inadequate.Therefore, we aimed investigate influence prophylactic high-volume operation day incidence after noon.Patients Methods: We reviewed medical records patients who underwent noon between October 2021 2022.The were divided into two groups based whether they received substantial volume intravenous (high-volume group) or not (low-volume day.We investigated intraoperative (IOH) as well accumulated duration first 15 minutes.In total, 550 included analysis.Results: After propensity score matching, was 39.7% group 54.1% low-volume group.Multivariate logistic regression analysis showed that had lower compared (odds ratio, 0.55; 95% CI, 0.34-0.89;p = 0.016).The infusion significantly correlated decreased (p 0.013), but no statistical difference observed for occurrence IOH 0.075). Conclusion:The more than equal 1000 mL associated undergoing noon.

Language: Английский

Citations

2
Diagnostic Efficacy of Carotid Ultrasound for Predicting the Risk of Perioperative Hypotension or Fluid Responsiveness: A Meta-Analysis DOI Creative Commons
Kuo‐Chuan Hung, Yen‐Ta Huang,

Wen-Wen Tsai

et al.

Diagnostics, Journal Year: 2023, Volume and Issue: 13(13), P. 2290 - 2290

Published: July 6, 2023

Despite the acceptance of carotid ultrasound for predicting patients’ fluid responsiveness in critical care and anesthesia, its efficacy hypotension remains unclear perioperative setting. Electronic databases were searched from inception to May 2023 identify observational studies focusing on use corrected blood flow time (FTc) respirophasic variation artery peak velocity (ΔVpeak) assessing risks responsiveness. Using FTc as a predictive tool (four studies), analysis yielded pooled sensitivity 0.82 (95% confidence interval (CI): 0.72 0.89) specificity 0.94 CI: 0.88 0.97) risk (area under curve (AUC): 0.95). For responsiveness, 0.79 0.84) 0.81 0.75 0.86), respectively (AUC: 0.87). In contrast, ΔVpeak predict showed 0.76 0.63 0.85) 0.74 0.66 0.8) 0.79). The current meta-analysis provides robust evidence supporting high diagnostic accuracy which requires further verification.

Language: Английский

Citations

4