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NR 1-2/2004
SUPLEMENT
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Monitorowanie
ci¶nienia tętniczego krwi podczas fakotrabekulektomii
Monitoring of blood pressure
during phacotrabeculectomy
Małgorzata Figurska1, Elżbieta
Płocharska2, Andrzej Stankiewicz1,
Zbigniew Rybicki2, Marek Rękas1
1Z Kliniki Okulistyki Wojskowego Instytutu Medycznego
w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz
2Z Kliniki Anestezjologii i Intensywnej Terapii
Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. n. med. Zbigniew Rybicki |
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| Summary: |
Purpose: To
evaluate systolic and diastolic blood pressure during
phacotrabeculectomy performed under regional anaesthesia
with retrobulbar block and intravenous analgosedation
with midazolam and fentanyl.
Material and methods: 68 patients were involved
into the study: I Group: 37 patients with chronic
cardiovascular and metabolic diseases: 22 women and 15
men (45 operations), mean aged 72,02 years, mean weight
73,4 kg, II Group: 31 patients without additional
diseases: 20 women and 11 men (44 operations), mean aged
70 years, mean weight 68,9 kg. Systolic and diastolic
arterial blood pressure was recorded at 5-minutes
intervals throughout the intraoperative period and
anesthetist intervened medically when necessary.
Results: In I Group statistically significant
mean systolic BP decrease was observed in 5 and 20
minute after injection of midazolam and fentanyl and
mean diastolic BP decrease was observed in 5 and 15
minute after analgosedation. In II Group statistically
significant mean systolic BP decrease was noted in 5
minute and mean diastolic BP decrease in 5 and 35 minute.
During phacotrabeculectomy mean systolic and diastolic
BP was statistically higher in I group. In I group 12
patients and in II group 4 patients required additional
antihypertensive drug.
Conclusions: Regional anaesthesia with
retrobulbar block and intravenous analgosedation
provides hemodynamic stability. Patients with
cardiovascular and matabolic diseases required acutely
observation during phacotrabeculectomy. |
| Słowa kluczowe: |
fakotrabekulektomia,
znieczulenie pozagałkowe, dożylna sedacja i analgezja,
midazolam, fentanyl, ci¶nienie tętnicze krwi. |
| Key words: |
phacotrabeculectomy,
retrobulbar anaestesia, intravenous sedation and
analgesia, midazolam, fentanyl, blood pressure. |
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