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Hypotension following induction to general anaesthesia: prevalence, significance, risk factors and preventive management options


Authors: O. Jor 1,5;  J. Divák 1;  V. Černý 2,3,4,5
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Ostrava 1;  Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně v Ústí nad Labem Masarykova nemocnice v Ústí nad Labem, Institut postgraduálního vzdělávání ve zdravotnictví 2;  Centrum pro výzkum a vývoj, Fakultní nemocnice Hradec Králové 3;  Dept. of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Canada 4;  Klinika anesteziologie, resuscitace a intenzivní medicíny, Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové 5
Published in: Anest. intenziv. Med., 27, 2016, č. 5, s. 277-283
Category: Anesthesiology - Review Article

Overview

Hypotension following induction to general anaesthesia occurs frequently in clinical practice. The aim of our narrative review was to offer a summary of the literature data dealing with the issue. Absolute blood pressure values and relative decrease in pressure are discussed, suggesting the limits which cannot be tolerated and require intervention. Hypotension after induction to general anaesthesia is associated with increased postoperative mortality and prolonged hospital length of stay. It also presents one of a few potentially responsive factors influencing postoperative morbidity and mortality.

Keywords:
hypotension – induction of general anaesthesia – risk factors – prevention


Sources

1. Reich, D. L., Hossain, S., Krol, M., Baez, B., Patel, P., Bernstein, A., Bodian, C. A. Predictors of hypotension after induction of general anesthesia. Anesthesia and Analgesia [online], 2005, 101, 3, p. 622–628. ISSN 00032999. Dostupné na: doi:10.1213/01.ANE.0000175214.38450.91.

2. Bijker, J. B., Van Klei, W. A., Kappen, T. H., Van Wolfswinkel, L., Moons, K. G., Kalkman, C. J. Incidence of Intraoperative Hypotension as a Function of the Chosen Definition. Survey of Anesthesiology [online], 2008, 52, 2, p. 237–238. ISSN 0039-6206. Dostupné na: doi:10.1097/SA.0b013e318185470b.

3. Reich, D. L., Bodian, C. A., Krol, M., Kuroda, M., Osinski, T., Thys, D. M. Intraoperative hemodynamic predictors of mortality, stroke, and myocardial infarction after coronary artery bypass surgery. Anesthesia and analgesia [online], 1999, 89, 4, p. 814–822. ISSN 0003-2999. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/10512249.

4. Ida, M., Katsuhiro, K., Masato, I., Kana, N., Toru, K., Naoya, K., Toshiyuki, S. Retrospective evaluation of predictors and frequency of hypotension in hypertensive patients after induction of general anesthesia. Masui. The Japanese journal of anesthesiology [online], 2014, 63, 6, p. 614–618. ISSN 0021-4892. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/24979848.

5. Barash, P. G., Cullen, B. F., Stoelting, R. K. et al. Klinická anesteziologie. GRADA 2015.

6. Robinson, B. J., Ebert, T. J., O’brien, T. J., Colinco, M. D., Muzi, M. Mechanisms whereby propofol mediates peripheral vasodilation in humans. Sympathoinhibition or direct vascular relaxation? Anesthesiology [online], 1997, 86, 1, p. 64–72. ISSN 0003-3022. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/9009941.

7. Sellgren, J., H Ejnell, M., Elam, J., Pontén, Wallin, B. G. Sympathetic muscle nerve activity, peripheral blood flows, and baroreceptor reflexes in humans during propofol anesthesia and surgery. Anesthesiology [online], 1994, 80, 3, p. 534–544. ISSN 0003-3022. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/8141450.

8. Ebert, T. J., Muzi, M., Berens, R., Goff, D., Kampine, J. P. Sympathetic responses to induction of anesthesia in humans with propofol or etomidate. Anesthesiology [online], 1992, 76, 5, p. 725–733. ISSN 0003-3022. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/1575340

9. Mehrdad Masoudifar, Elham Beheshtian. Comparison of cardiovascular response to laryngoscopy and tracheal intubation after induction of anesthesia by Propofol and Etomidate. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences. 2013, 18, 10, p. 870.

10. Coley, S., K A Mobley, M., Bone, E., Fell, D. Haemodynamic changes after induction of anaesthesia and tracheal intubation following propofol or thiopentone in patients of ASA grade I and III. British journal of anaesthesia [online], 1989, 63, 4, p. 423–428. ISSN 0007-0912. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/2818919.

11. Burgos, L. G., Ebert, T. J., Asiddao, C., Turner, L. A., Pattison, C. Z., Wang-Cheng, R., Kampine, J. P. Increased intraoperative cardiovascular morbidity in diabetics with autonomic neuropathy. Anesthesiology [online]. 1989, 70, 4, p. 591–597. ISSN 0003-3022. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/2929996.

12. Knüttgen, D., Trojan, S., Weber, M., Wolf, M., Wappler, F. Pre-operative measurement of heart rate variability in diabetics: a method to estimate blood pressure stability during anaesthesia induction. Der Anaesthesist [online], 2005, 54, 5, p. 442–449. ISSN 0003-2417. Dostupné z: doi:10.1007/s00101-005-0837-y.

13. Huang, C.-J., Kuok, C. H., Kuo, T. B. J., Hsu, Y. W., Tsai, P. S. Pre-operative measurement of heart rate variability predicts hypotension during general anesthesia. Acta anaesthesiologica Scandinavica [online], 2006, 50, 5, p. 542–548. ISSN 0001-5172. Dostupné z: doi:10.1111/j.1399-6576.2006.001016.x.

14. Schirmer, U., Schürmann, W. Preoperative administration of angiotensin-converting enzyme inhibitors. Der Anaesthesist [online], 2007, 56, 6, p. 557–561. ISSN 0003-2417. Dostupné z: doi:10.1007/s00101-007-1177-x.

15. Rajgopal, R., Rajan, S., Sapru, K., Paul, J. Effect of pre-operative discontinuation of angiotensin-converting enzyme inhibitors or angiotensin II receptor antagonists on intra-operative arterial pressures after induction of general anesthesia. Anesthesia, essays and researches [online], 8, 1, p. 32–35. ISSN 0259-1162. Dostupné z: doi:10.4103/0259-1162.128903.

16. Trotter, J. Catecholamine-resistant hypotension following induction for spinal exploration. AANA Journal, 2012, 80, 1, p. 55–60. ISSN 00946354.

17. Monk, T. G., Bronsert, M. R., Henderson, W. G., Mangione, M. P., Sum-Ping, S. T. J., Bentt, D. R., Nguyen, J. D., Richman, J. S., Meguid, R. A., Hammermeister, K. E. Association between Intraoperative Hypotension and Hypertension and 30-day Postoperative Mortality in Noncardiac Surgery. Anesthesiology [online], 2015, 123, 2, p. 307–319. ISSN 1528-1175. Dostupné na: doi:10.1097/ALN.0000000000000756.

18. Aronson, S., Stafford-Smith, M., Phillips-Bute, B., Shaw, A., Gaca, J., Newman, M., Cardiothoracic Anesthesiology Research Endeavors. Intraoperative systolic blood pressure variability predicts 30-day mortality in aortocoronary bypass surgery patients. Anesthesiology [online], 2010, 113, 2, p. 305–312. ISSN 1528-1175. Dostupné na: doi:10.1097/ALN.0b013e3181e07ee9

19. Mascha, E. J., Dongsheng Yang, j. P. H., Weiss, S., Sessler, D. I. Intraoperative Mean Arterial Pressure Variability and 30-day Mortality in Patients Having Noncardiac Surgery. Anesthesiology [online], 2015, 1, p. 79–91. ISSN 1528-1175. Dostupné na: doi:10.1097/ALN.0000000000000686.

20. Willingham, M. D., Karren, E., Shanks, A. M., O’connor, M. F., Jacobsohn, E., Kheterpal, S., Avidan, M. S. Concurrence of intraoperative hypotension, low minimum alveolar concentration, and low bispectral index is associated with postoperative death. Anesthesiology [online]. 2015, 123, 4, p. 775–785. ISSN 1528-1175. Dostupné na: doi:10.1097/ALN.0000000000000822.

21. Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J., Culebras, A., Elkind, M. S. V., George, M. G., Hamdan, A. D., Higashida, R. T., Hoh, B. L., Janis, L. S., Kase, C. S., Kleindorfer, D. O., Lee, J. M., Moseley, M. E., Peterson, E. D., Turan, T. N., Valderrama, A. L., Vinters, H. V. An updated definition of stroke for the 21st century: A statement for healthcare professionals from the American heart association/American stroke association. Stroke [online], 2013, 44, 7, p. 2064–2089. ISSN 00392499. Dostupné na: doi:10.1161/STR.0b013e318296aeca

22. Bucerius, J., Gummert, J. F., Borger, M. A., Walther, T., Doll, N., F Onnasch, J., Metz, S., Falk, V., Mohr, F. W. Stroke after cardiac surgery: a risk factor analysis of 16,184 consecutive adult patients. The Annals of thoracic surgery [online], 2003, 75, 2, p. 472–478. ISSN 0003-4975. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/12607656.

23. Baumbach, G. L., Heistad, D. D. Effects of sympathetic stimulation and changes in arterial pressure on segmental resistance of cerebral vessels in rabbits and cats. Circulation research, 1983, 52, p. 527–533.

24. Werber, A. H., Heistad, D. D. Effects of chronic hypertension and sympathetic nerves on the cerebral microvasculature of stroke-prone spontaneously hypertensive rats. Circulation Research [online], 1984, 55, 3, p. 286–294. Dostupné na www: http://circres.ahajournals.org/cgi/doi/10.1161/01.RES.55.3.286.

25. Tyll, T., Dostálová, V., Netuka, D. et al. Neuroanestezie a základy neurointenzivní péče, Mladá Fronta, 2014.

26. Bijker, J. B., Persoon, S., Peelen, L. M., Moons, K. G., Kalkman, C. J., Kappelle, L. J., Van Klei, W. A. Intraoperative Hypotension and Perioperative Ischemic Stroke after General Surgery. Anesthesiology [online], 2012, 116, 3, p. 658–664. ISSN 1528-1175. Dostupné na: doi:10.1097/ALN.0b013e3182472320.

27. Faggiano, P., Bonardelli, S., De Feo, S., Valota, M., Frattini, S., Cervi, E., Guadrini, C., Giulini, S. M., Dei Cas, L. Preoperative cardiac evaluation and perioperative cardiac therapy in patients undergoing open surgery for abdominal aortic aneurysms: effects on cardiovascular outcome. Annals of vascular surgery [online], 2012, 26, 2, p. 156–165. ISSN 1615-5947. Dostupné na: doi:10.1016/j.avsg.2011.06.019

28. Lienhart, A., Auroy, Y., Péquignot, F., Benhamou, D., Warszawski, J., Bovet, M., Jougla, E. Survey of anesthesia-related mortality in France. Anesthesiology [online], 2006, 105, 6, p. 1087–1097. ISSN 0003-3022. Dostupné na www: http://www.ncbi.nlm.nih.gov/pubmed/17122571

29. Van Waes, J. A. R., Nathoe, H. M., De Graaff, J. C., Kemperman, H., De Borst, G. J., Peelen, L. M., Van Klei, W. A., Cardiac Health After Surgery (Chase) Investigators. Myocardial injury after noncardiac surgery and its association with short-term mortality. Circulation [online], 2013, 127, 23, p. 2264–2271. ISSN 1524-4539. Dostupné na: doi:10.1161/CIRCULATIONAHA.113.002128

30. Van Waes, J. A. R., Van Klei, W. A., Wijeysundera, D. N., Van Wolfswinkel, L., Lindsay, T. F., Beattie, W. S. Association between Intraoperative Hypotension and Myocardial Injury after Vascular Surgery. Anesthesiology [online], 2016, 124, 1, p. 35–44. ISSN 1528-1175. Dostupné na: doi:10.1097/ALN.0000000000000922.

31. Abelha, F. J., Botelho, M., Fernandes, V., Barros, H. Determinants of postoperative acute kidney injury. Critical care (London, England) [online], 2009, 13, 3, p. R79. ISSN 1364-8535. Dostupné na: doi:10.1186/cc7894.

32. Sun, L. Y., Wijeysundera, D. N., Tait, G. A., Beattie, W. S. Association of intraoperative hypotension with acute kidney injury after elective noncardiac surgery. Anesthesiology [online], 2015, 123, 3, p. 515–523. ISSN 1528-1175. Dostupné na: doi:10.1097/ALN.0000000000000765

33. Reimer, P., Adamus, M., Sklienka, P., Ševčík, P. Předoperační vyšetření autonomního nervového systému měřením variability srdeční frekvence jako metoda predikce perioperačního průběhu. Anest. Intenziv. Med., 2015, 26, 3, p. 137–144. ISSN 12142158.

34. Hanss, R., Renner, J., Ilies, C., Moikow, L., Buell, O., Steinfath, M., Scholz, J., Bein, B. Does heart rate variability predict hypotension and bradycardia after induction of general anaesthesia in high risk cardiovascular patients? Anaesthesia [online], 2008, 63, 2, p. 129–135. ISSN 00032409. Dostupné na: doi:10.1111/j.1365-2044.2007.05321.x.

35. Zhang, J., Critchley, L. A. H. Inferior Vena Cava Ultrasonography before General Anesthesia Can Predict Hypotension after Induction. Anesthesiology [online], 2016, 124, 3, p. 580–589. ISSN 1528-1175. Dostupné na: doi:10.1097/ALN.0000000000001002.

36. GROUP Poise Study. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. The Lancet [online], 2008, 371, 9627, p. 1839–1847. ISSN 01406736. Dostupné na: doi:10.1016/S0140-6736(08)60601-7.

37. Masjedi, M., Zand, F., Kazemi, A. P., Hoseinipour, A. Prophylactic effect of ephedrine to reduce hemodynamic changes associated with anesthesia induction with propofol and remifentanil. J. Anaesth. Clin. Pharmacol. [online], 30, 2. Dostupné na: doi:10.4103/0970-9185.130024.

38. Imran, M., Khan, F. H., Khan, M. A. Attenuation of hypotension using phenylephrine during induction of anaesthesia with propofol. J. Pakistan Med. Assoc., 2007, 57, 11, p. 543–547. ISSN 00309982.

39. Nissen, P., Brassard, P., Jørgensen, T. B., Secher, N. H. Phenylephrine but not ephedrine reduces frontal lobe oxygenation following anesthesia-induced hypotension. Neurocritical care [online], 2010, 12, 1, p. 17–23. ISSN 1556-0961. Dostupné na: doi:10.1007/s12028-009-9313-x.

40. Turner, R. J., Gatt, S. P., Kam, P. C., Ramzan, I., Daley, M. Administration of a crystalloid fluid preload does not prevent the decrease in arterial blood pressure after induction of anaesthesia with propofol and fentanyl. Brit. J. Anaest., 1998, 80, p. 737–741. ISSN 0007-0912.

41. Darvall, J., Vijayakumar, R., Leslie, K. Prewarming neurosurgical patients to minimize hypotension on induction of anesthesia: a randomized trial. Canad. J. Anesth. /J. canadien d’anesthésie [online], 2016, 63, 5, s. 577–583. ISSN 0832-610X. Dostupné na: doi:10.1007/s12630-016-0601-6.

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