CHARACTERIZATION OF HEART RATE VARIABILITY DURING TOTAL VENOUS ANESTHESIA: A CASE REPORT

Barra lateral de artigos

PDF (English)
Publicado: mai 14, 2018
DOI: https://doi.org/10.14295/aimj.v2i4.31

Conteúdo do artigo principal

Danielly Gonçalves Sombra Lima
Federal University of Ceará, Brasil
Ageu de Oliveira Saraiva
Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil
Cicera Yolanda dos Santos
Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil
Sebastião Messias Ribeiro Oliveira
Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil
Rafael Pires Pereira
Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil
Wilson Gonçalves Sombra
Maternidade de Campinas: Anesthesiology department (Campinas, Brazil)
Bráulio Gonçalves Sombra
Hospital Maternidade Sao Vicente de Paula: Anesthesiology department (Barbalha, Brazil)
Hermes Melo Teixeira Batista
Faculdade de Medicina Estácio de Juazeiro do Norte (Juazeiro do Norte, Brazil)

Resumo

The aim of the study was to characterize the heart rate variability in a patient with no comorbidities, submitted to buccomaxillofacial surgery under total venous anesthesia using the linear frequency and nonlinear methods in the chaos domain (Poincaré plot). Data collection was performed before, during and after the surgical procedure using a Polar V800 cardiofrequencymeter and subsequently analyzed and filtered using the Kumbios HRV 3.0 software. During propofol infusion, elevations in LF, HF, SD1 and SD2 were observed. The LF/HF ratio showed obvious changes, which were found to be maximal during extubation and submaximal during awakening under greater influence of the sympathetic nervous system. The moment of the incision has parameters similar to those of rest. Final surgery maintenance showed the lowest values of LH/HF and SD1/SD2, with lower LF and SD2 values compared to rest. During the awakening, there was a decrease in SD1 and HF, representing the moment of greatest fragility during the total venous anesthesia, being of fundamental importance future studies about their repercussions.

 

 

Métricas

Carregando Métricas ...

Detalhes do artigo

Como Citar
Lima, D. G. S., Saraiva, A. de O., Santos, C. Y. dos, Oliveira, S. M. R., Pereira, R. P., Sombra, W. G., Sombra, B. G., & Batista, H. M. T. (2018). CHARACTERIZATION OF HEART RATE VARIABILITY DURING TOTAL VENOUS ANESTHESIA: A CASE REPORT. Amadeus International Multidisciplinary Journal, 2(4), 57–70. https://doi.org/10.14295/aimj.v2i4.31
Edição
v. 2 n. 4 (2018)
Seção
Case Report

Esta licença permite que os reutilizadores distribuam, remixem, adaptem e construam sobre o material em qualquer meio ou formato apenas para fins não comerciais e apenas enquanto a atribuição for dada ao criador. 

Biografia do Autor

Danielly Gonçalves Sombra Lima, Federal University of Ceará, Brasil

Professora Adjunta.

Ageu de Oliveira Saraiva, Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil

Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil

Cicera Yolanda dos Santos, Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil

Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil

Sebastião Messias Ribeiro Oliveira, Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil

Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil


 

 

Wilson Gonçalves Sombra2, Bráulio Gonçalves Sombra3, Hermes Melo Teixeira Batista1,4

Rafael Pires Pereira, Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil

Faculdade de Medicina Estácio de Juazeiro do Norte, Brazil

Wilson Gonçalves Sombra, Maternidade de Campinas: Anesthesiology department (Campinas, Brazil)

Maternidade de Campinas: Anesthesiology department (Campinas, Brazil)


 

Bráulio Gonçalves Sombra, Hospital Maternidade Sao Vicente de Paula: Anesthesiology department (Barbalha, Brazil)

Hospital Maternidade Sao Vicente de Paula: Anesthesiology department (Barbalha, Brazil)


 

Hermes Melo Teixeira Batista, Faculdade de Medicina Estácio de Juazeiro do Norte (Juazeiro do Norte, Brazil)

Hospital Regional do Cariri: Anesthesiology department (Juazeiro do Norte, Brazil)

Referências

Bagatini, Ailton et al. Bases do Ensino da Anestesiologia. (2016).Rio de Janeiro: Sociedade Brasileira de Anestesiologia.

Biaggioni, Italo. (2017). The pharmacology of autonomic failure: from hypotension to hypertension. Pharmacological reviews. 69 (1) p. 53-62.

Brennan, Michael; Palaniswami, Marimuthu; Kamen, Peter. (2002). Poincare plot interpretation using a physiological model of HRV based on a network of oscillators. American Journal of Physiology-Heart and Circulatory Physiology. 283 (5). p. H1873-H1886.

Corrêa, Paulo Rogério et al. (2010). Heart rate variability and pulmonary infections after myocardial revascularization. Arquivos brasileiros de cardiologia. 95(4), p. 448-456, 2010.

Godoy, Moacir Fernandes. Teoria do Caos aplicado a medicina. (2003). Tese (Livre Docência) Faculdade de Medicina de São José do Rio Preto (FAMERP).

Guzik, Przemyslaw et al. (2007). Correlations between the Poincare plot and conventional heart rate variability parameters assessed during paced breathing. The Journal of Physiological Sciences. 57 (1) p. 63-71.

Hsu, Che-Hao et al. (2012). Poincaré plot indexes of heart rate variability detect dynamic autonomic modulation during general anesthesia induction. Acta Anaesthesiologica Taiwanica. 50 (1), p. 12-18.

Jeppesen, Jesper et al. (2016). Comparing maximum autonomic activity of psychogenic non-epileptic seizures and epileptic seizures using heart rate variability. Seizure-European Journal of Epilepsy. 37, p. 13-19.

Kanaya, Noriaki et al. (2005). Differential effects of propofol and sevoflurane on heart rate variability. Anesthesiology: The Journal of the American Society of Anesthesiologists, 98 (1) p. 34-40.

Ledowski, Thomas et al. (2005). Neuroendocrine stress response and heart rate variability: a comparison of total intravenous versus balanced anesthesia. Anesthesia & Analgesia, 101(6) p. 1700-1705.

Luginbühl, Martin et al. (2007). Heart rate variability does not discriminate between different levels of haemodynamic responsiveness during surgical anaesthesia. British journal of anaesthesia, v. 98 (6) p. 728-736.

Matchett, Gerald; Wood, Philip. (2014). General anesthesia suppresses normal heart rate variability in humans. Chaos: An Interdisciplinary Journal of Nonlinear Science.24 (2) p. 023129

Martins, Herlon Saraiva et al. (2013). Emergências clínicas: abordagem prática. Barueri, SP :Manole.

Meuwly, Cyrill et al. (2017). Definition and diagnosis of the trigeminocardiac reflex: a grounded theory approach for an update. Frontiers in neurology, 8, p. 533.

Moraes filho, Ruy Silveira; Ribeiro, Jorge Pinto. (2005). Variabilidade da freqüência cardíaca como instrumento de investigação do sistema nervoso autônomo em condições fisiológicas e patológicas. Revista HCPA. 25(3), p. 99-106.

Nunes, Mariane de Oliveira et al. (2007). Variabilidade da frequência cardíaca e sistema nervoso autônomo. Retrivied in: http://www.inicepg.univap.br/cd/INIC_2007/trabalhos/saude/epg/EPG00429_01C.pdf

Ranucci, Marco et al. (2017). Baroreflex sensitivity and outcomes following coronary surgery. PloS one 12(4),p. e0175008.

Riznyk, Lesya; Fijalkowska, Magdalena; Przesmycki, Krzysztof.(2005). Effects of thiopental and propofol on heart rate variability during fentanyl-based induction of general anesthesia. Pharmacol Rep, 57, (1), p. 128-34.

Sá, Joceline Cássia Ferezini de et al. (2013). Variabilidade da frequência cardíaca como método de avaliação do sistema nervoso autônomo na síndrome dos ovários policísticos. Rev Bras Ginecol Obstet, 35(9), p. 421-426.

Sztajzel, Juan et al. (2004). Heart rate variability: a noninvasive electrocardiographic method to measure the autonomic nervous system. Swiss medical weekly, 134, n. 35-36, p. 514-522.

Vanderlei, Luiz Carlos Marques et al. (2009). Basic notions of heart rate variability and its clinical applicability. Brazilian Journal of Cardiovascular Surgery. (2009) 24(2) p. 205-217.