Connection between the level of anesthesia and hemodynamic and heart rate variability

The work presents the analysis of changes of statistical parameters, hemodynamic and cardiac rhythm variability in dynamics depending on sedation level according to the bispectral index in patients undergone intravenous anaesthesia in painful endoscopic procedures. Heart rate variability is a reliab...

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Autores principales:	V. I. Gorbachev, I. V. Khmelnitsky, S. M. Gorbacheva
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	bispectral index heart rate variability level of anesthesia discriminant function Science Q
Acceso en línea:	https://doaj.org/article/ef31f67d59814c2ebcdde878db2e7d19
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spelling	oai:doaj.org-article:ef31f67d59814c2ebcdde878db2e7d192021-11-23T06:14:37ZConnection between the level of anesthesia and hemodynamic and heart rate variability2541-94202587-959610.12737/article_59f035f79bf049.81385637https://doaj.org/article/ef31f67d59814c2ebcdde878db2e7d192017-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/381https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The work presents the analysis of changes of statistical parameters, hemodynamic and cardiac rhythm variability in dynamics depending on sedation level according to the bispectral index in patients undergone intravenous anaesthesia in painful endoscopic procedures. Heart rate variability is a reliable and sensitive method for evaluation of functions of the autonomic nervous system. Registration and interpretation of heart rate variability reflects the activity of the autonomic nervous system in such diseases as intracranial hypertension, stroke, and brain trauma. As a "gold standard" assessment of the level of anesthesia we used the original methodology for the evaluation of bioelectrical activity of the brain based on electroencephalogram - "Bispectral index" - BISPECTRAL INDEX (BIS], demonstrating the degree of sedation of the patient on a dynamic curve from 100 % to 0 %. Assessment of heart rate variability, hemodynamic profile, and the BIS was carried out in three phases of research: phase 1 - before the introduction of anaesthesia (baseline]; phase 2- after administration of drugs for anesthesia; phase 3 - the end of the procedure, recovery of consciousness (post anesthesia]. Depending on the BIS, values for all patients were allocated to three levels of sedation: the first level corresponded to the patient's state of consciousness or light sedation, the second and third - to deep anesthesia. A mathematical model of light and deep levels of anesthesia based on the discriminant analysis contingency options.V. I. GorbachevI. V. KhmelnitskyS. M. GorbachevaScientific Сentre for Family Health and Human Reproduction Problemsarticlebispectral indexheart rate variabilitylevel of anesthesiadiscriminant functionScienceQRUActa Biomedica Scientifica, Vol 2, Iss 3, Pp 9-13 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	bispectral index heart rate variability level of anesthesia discriminant function Science Q
spellingShingle	bispectral index heart rate variability level of anesthesia discriminant function Science Q V. I. Gorbachev I. V. Khmelnitsky S. M. Gorbacheva Connection between the level of anesthesia and hemodynamic and heart rate variability
description	The work presents the analysis of changes of statistical parameters, hemodynamic and cardiac rhythm variability in dynamics depending on sedation level according to the bispectral index in patients undergone intravenous anaesthesia in painful endoscopic procedures. Heart rate variability is a reliable and sensitive method for evaluation of functions of the autonomic nervous system. Registration and interpretation of heart rate variability reflects the activity of the autonomic nervous system in such diseases as intracranial hypertension, stroke, and brain trauma. As a "gold standard" assessment of the level of anesthesia we used the original methodology for the evaluation of bioelectrical activity of the brain based on electroencephalogram - "Bispectral index" - BISPECTRAL INDEX (BIS], demonstrating the degree of sedation of the patient on a dynamic curve from 100 % to 0 %. Assessment of heart rate variability, hemodynamic profile, and the BIS was carried out in three phases of research: phase 1 - before the introduction of anaesthesia (baseline]; phase 2- after administration of drugs for anesthesia; phase 3 - the end of the procedure, recovery of consciousness (post anesthesia]. Depending on the BIS, values for all patients were allocated to three levels of sedation: the first level corresponded to the patient's state of consciousness or light sedation, the second and third - to deep anesthesia. A mathematical model of light and deep levels of anesthesia based on the discriminant analysis contingency options.
format	article
author	V. I. Gorbachev I. V. Khmelnitsky S. M. Gorbacheva
author_facet	V. I. Gorbachev I. V. Khmelnitsky S. M. Gorbacheva
author_sort	V. I. Gorbachev
title	Connection between the level of anesthesia and hemodynamic and heart rate variability
title_short	Connection between the level of anesthesia and hemodynamic and heart rate variability
title_full	Connection between the level of anesthesia and hemodynamic and heart rate variability
title_fullStr	Connection between the level of anesthesia and hemodynamic and heart rate variability
title_full_unstemmed	Connection between the level of anesthesia and hemodynamic and heart rate variability
title_sort	connection between the level of anesthesia and hemodynamic and heart rate variability
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/ef31f67d59814c2ebcdde878db2e7d19
work_keys_str_mv	AT vigorbachev connectionbetweenthelevelofanesthesiaandhemodynamicandheartratevariability AT ivkhmelnitsky connectionbetweenthelevelofanesthesiaandhemodynamicandheartratevariability AT smgorbacheva connectionbetweenthelevelofanesthesiaandhemodynamicandheartratevariability
_version_	1718417042965528576

Connection between the level of anesthesia and hemodynamic and heart rate variability

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