Prognostic modelling of blood hemodynamic response to regional and general anesthesia


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Abstract

Prognosis of systemic circulation response to the inducation of general anaesthesia and central neuraxial block is discussed in the review. Modern approaches to preoperative cardiovascular risk assessment, while accurately predicting overall risk level, doesn't help anaesthesiologist to choose anaesthesia methods in exact patient. The authors analyzing novel approach, based on non-invasive monitoring assessment of hemodynamic response to the stimuli, physiologically similar to those challenging patient's condition during the surgery and anaesthesia. In addition to the previously introduced prognostic model of hemodynamic response to central neuraxial block based on nitroglycerine test, esmolol test as a model of response to myocardiodepressive action of general anaesthesia induction is proposed.

About the authors

Mikhail G. Egorov

North-Western State Medical University named after I.I. Mechnikov

Email: dark_prince@list.ru
the postgraduate of the Department of anesthesiology and resuscitation named after V.L. Vanevskii, North-Western State Medical University named after I.I. Mechnikov 191015, Saint-Petersburg

K. M Lebedinskii

North-Western State Medical University named after I.I. Mechnikov

191015, Saint-Petersburg

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