Recent Advances in Understanding the Pathophysiology and Risk Stratification of Post-Intubation Hypotension DOI Open Access
Emily Pan, Chen Yao

Asploro Journal of Biomedical and Clinical Case Reports, Journal Year: 2024, Volume and Issue: 8(1), P. 20 - 29

Published: Dec. 18, 2024

Research indicates that post-intubation hypotension (PIH) is the most frequent complication of intubation, potentially leading to acute myocardial infarction, renal failure, extended hospitalizations, and poor outcomes. Key physiological parameters such as age, body mass index, baseline blood pressure are closely linked PIH incidence. Induction drugs significantly influence mechanisms PIH, with varying administration methods impacting hemodynamic stability. Furthermore, complexity intubation procedure exacerbates by stimulating vagus nerve affecting cardiac output. Although current research aims identify risk factors absence uniform diagnostic criteria impedes comparability results. Future studies should focus on establishing clear standards, optimizing induction drug choices procedural techniques, integrating early warning indicators personalized intervention strategies decrease incidence enhance patient

Language: Английский

Hypotension after induction of anesthesia with remimazolam or etomidate: a non-inferiority randomized controlled trial in patients undergoing coronary artery bypass grafting DOI Creative Commons
Jeong Jin Min, Eun Jung Oh,

Hyun Ji Hwang

et al.

Korean journal of anesthesiology, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 3, 2025

Remimazolam is a novel ultra-short-acting benzodiazepine known for its hemodynamic stability over propofol. However, effects compared to those of etomidate are not well established. This study aimed determine whether the use remimazolam non-inferior with regard occurrence post-induction hypotension in patients undergoing coronary arterial bypass grafting.

Language: Английский

Citations

0

A review of recent advances in anesthetic drugs for patients undergoing cardiac surgery DOI Creative Commons

Yutian Sun,

Xiangyou Sun,

Haibo Wu

et al.

Frontiers in Pharmacology, Journal Year: 2025, Volume and Issue: 16

Published: Feb. 18, 2025

Inducing and maintaining general anesthesia requires a diverse set of medications. Currently, heart surgery anesthetic management does not adhere to any one standard protocol or drugs. To ensure steady circulatory function while providing sufficient sedation, medications are carefully selected for cardiovascular operations. Among the opioids used most often in cardiac fentanyl, sufentanil, remifentanil. As anesthesiologist, your key responsibilities will be maintain patient's blood pressure (BP) oxygen levels, reduce frequency intensity ischemia events, make it easy them get off cardiopulmonary bypass (CPB) supplemental fast. Additionally, new knowledge gaps have been identified as result developments anesthetics, which must addressed. The goal recent has decrease risks increase accuracy patient outcomes during surgeries. Furthermore, methods tools contributing evolution toward more dynamic, patient-centered approach, with an eye on boosting safety, decreasing complications, facilitating better recovery patients. New emerged field pharmacology, aiming improve management, particularly patients who disease. Optimal stability, fewer side effects, enhanced surgical achieved by use these We reviewed all different kinds techniques this research. also examined many medicines that produced individuals issues. Next, we covered prospects realm novel

Language: Английский

Citations

0

The Efficacy and Safety of Remimazolam Tosilate compared with Propofol for Endoscopic Retrograde Cholangiopancreatography under Monitored Anesthesia Care: A Single-Center Randomized Controlled Clinical Trial DOI Creative Commons

Biyun Zhou,

Shiyong Li, Ailin Luo

et al.

Heliyon, Journal Year: 2024, Volume and Issue: 10(19), P. e38349 - e38349

Published: Sept. 24, 2024

Language: Английский

Citations

2

Letter to the editor regarding “Effect of remimazolam versus propofol on hypotension after anesthetic induction in patients undergoing coronary artery bypass grafting: A randomized controlled trial” DOI
Jacopo D’Andria Ursoleo, Alice Bottussi, Viviana Teresa Agosta

et al.

Journal of Clinical Anesthesia, Journal Year: 2024, Volume and Issue: 99, P. 111644 - 111644

Published: Sept. 30, 2024

Language: Английский

Citations

2

Response to comment on: “Effect of remimazolam versus propofol on hypotension after anesthetic induction in patients undergoing coronary artery bypass grafting: A randomized controlled trial” DOI
Karam Nam, Jae‐Woo Ju

Journal of Clinical Anesthesia, Journal Year: 2024, Volume and Issue: 99, P. 111643 - 111643

Published: Oct. 1, 2024

Language: Английский

Citations

0

Letter to the editor regarding “Effect of remimazolam versus propofol on hypotension after anesthetic induction in patients undergoing coronary artery bypass grafting: A randomized controlled trial”. DOI
Jie Wang, Xiaocou Wang,

Congcong Huang

et al.

Journal of Clinical Anesthesia, Journal Year: 2024, Volume and Issue: 99, P. 111658 - 111658

Published: Oct. 17, 2024

Language: Английский

Citations

0

Recent Advances in Understanding the Pathophysiology and Risk Stratification of Post-Intubation Hypotension DOI Open Access
Emily Pan, Chen Yao

Asploro Journal of Biomedical and Clinical Case Reports, Journal Year: 2024, Volume and Issue: 8(1), P. 20 - 29

Published: Dec. 18, 2024

Research indicates that post-intubation hypotension (PIH) is the most frequent complication of intubation, potentially leading to acute myocardial infarction, renal failure, extended hospitalizations, and poor outcomes. Key physiological parameters such as age, body mass index, baseline blood pressure are closely linked PIH incidence. Induction drugs significantly influence mechanisms PIH, with varying administration methods impacting hemodynamic stability. Furthermore, complexity intubation procedure exacerbates by stimulating vagus nerve affecting cardiac output. Although current research aims identify risk factors absence uniform diagnostic criteria impedes comparability results. Future studies should focus on establishing clear standards, optimizing induction drug choices procedural techniques, integrating early warning indicators personalized intervention strategies decrease incidence enhance patient

Language: Английский

Citations

0