prikaz prve stranice dokumenta Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study
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Scientific paper - Original scientific paper
Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study
BMC Anesthesiology, 18 (2018), 32; 1-9. https://doi.org/10.1186/s12871-018-0498-4
D’Ambrosio, Alessandro; Cotoia, Antonella; Beck, Renata; Salatto, Potito; Zibar, Lada; Cinnella, Gilda

Institutional repository: Repository UHC Osijek

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D’Ambrosio, A., Cotoia, A., Beck, R., Salatto, P., Zibar, L. & Cinnella, G. (2018). Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study. BMC Anesthesiology, 18. (32), 1-9. doi: 10.1186/s12871-018-0498-4

D’Ambrosio, Alessandro, et al. "Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study." BMC Anesthesiology, vol. 18, no. 32, 2018, pp. 1-9. https://doi.org/10.1186/s12871-018-0498-4

D’Ambrosio, Alessandro, Antonella Cotoia, Renata Beck, Potito Salatto, Lada Zibar and Gilda Cinnella. "Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study." BMC Anesthesiology 18, no. 32 (2018): 1-9. https://doi.org/10.1186/s12871-018-0498-4

D’Ambrosio, A., et al. (2018) 'Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study', BMC Anesthesiology, 18(32), pp. 1-9. doi: 10.1186/s12871-018-0498-4

D’Ambrosio A, Cotoia A, Beck R, Salatto P, Zibar L, Cinnella G. Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study. BMC Anesthesiology [Internet]. 2018 [cited 2024 December 24];18(32):1-9. doi: 10.1186/s12871-018-0498-4

A. D’Ambrosio, A. Cotoia, R. Beck, P. Salatto, L. Zibar and G. Cinnella, "Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study", BMC Anesthesiology, vol. 18, no. 32, pp. 1-9, 2018. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:239:704782. [Accessed: 24 December 2024]

Metadata
Title (english)Impedance Cardiography as tool for Continuous Hemodynamic Monitoring During Cesarean Section: Randomized, Prospective Double Blind Study
AuthorAlessandro D’Ambrosio
AuthorAntonella Cotoia
AuthorRenata Beck
AuthorPotito Salatto
AuthorLada Zibar
MBZ: 254864
AuthorGilda Cinnella
Author's institution(Clinical hospital center Osijek)
Author's institutionJosip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
BACKGROUND: Impedance Cardiography (ICG) is a non-invasive tool for continuous hemodynamic monitoring. Aims of our study were to assess the utility of ICG to evaluate the hemodynamic impact of 6 mg (GL6) vs 8 mg (GL8) levobupivacaine combined with fentanyl in healthy patients undergoing elective cesarean section; secondary, to compare the duration and quality of analgesia and anesthesia. METHODS: Sixty-two women receiving combined spinal-epidural (CSE) for elective cesarean delivery were randomly allocated to GL6 or GL8 groups. Mean arterial pressure (MAP), cardiac index (CI), systemic vascular resistance index (SVRI), heart rate (HR), stroke volume index (SVI) were recorded from Tbaseline to 31 min after CSE by ICG. Sensory and motor blocks, patients and surgeons satisfaction, neonatal data were also recorded. RESULTS: Fifteen of 32 patients in GL6 and 15 of 30 patients in GL8 experienced hypotension at T2 vs Tbaseline (P < .001) and SVRI reduction (P = .035 and P < .001 respectively). MAP, CI and SVRI were always slightly higher in GL6 vs GL8. HR and SVI remained stable until the end of surgery in all patients. Total ephedrine requirements was higher in GL8 (P = .010). The onset and offset time of sensory and motor block were similar in both groups, but the number of patients with motor block was lower in GL6 vs GL8 (P = .001). Patients and surgeon satisfaction scores, the number of patients needed systemic rescue doses, neonatal data were similar in both groups. CONCLUSIONS: ICG is a useful noninvasive tool to monitor continuously hemodynamics during cesarean section. The hemodynamic stability, the satisfying sensory block and rapid mobilization provided by low levobupivacaine dose may be particularly advantageous in obstetric patients
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleBMC Anesthesiology
Numberingvol. 18, no. 32, pp. 1-9
e-ISSN1471-2253
DOIhttps://doi.org/10.1186/s12871-018-0498-4
URN:NBNurn:nbn:hr:239:704782
Publication2018
Document URLhttps://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12871-018-0498-4
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2019-11-27 08:44:50