Labrada DA, Mazaira ÁKT

Language: Spanish
References: 14
Page: 18-22
PDF size: 85.11 Kb.

ABSTRACT

Introduction: The laparoscopic surgery in patient with high cardiovascular risk is not exempt of difficulties. We try to identify the hemodynamic complications when using propofol or isoflurane in these patients during the anesthetic maintenance.
Methods: We carry out a descriptive observational study, of traverse type in the University Hospital «General Calixto García», from June of the 2003 to December of the 2006 in patient of high cardiovascular risk for laparoscopic cholecystectomy. The sample was divided in two groups: in the first group propofol was used to 1% in infusion from 2 to 6 mg/kg/h and in the second group isoflurane was used with minimum alveolar concentration among 1 at 1.15. The evaluated variables were arterial tension, heart frequency, arterial blood-gas analysis, temperature.
Results: The biggest number of complications happened with the use of the propofol (56.4%) and in smaller number with isoflurane (29.1%). The most frequent was the arterial hypotension (38.2%) continued by the atrial arrhythmias (13.6%). The payees of ischemic cardiopathy, arterial hypertension and failure heart associated to arterial hypertension those that bigger frequency of complications presented with propofol were and the lingering surgical time impacted in the presence of these.
Conclusions: The isoflurane provides better hemodynamic stability that the propofol in this group of patient during the laparoscopic surgery.

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