masterThesis
Variación de la tensión arterial en pacientes hipertensos en anestesia neuroaxial, hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca, 2019
Fecha
2021-05-10Autor
Zumba Villavicencio, Sandra Patricia
Institución
Resumen
Introduction: Hypertensive patients scheduled for surgery are more likely to suffer side effects of spinal anesthesia, especially post-block hypotension, a frequent complication that occurs when performing this procedure, in addition the negative effects of hypotension will occur more easily in this group of chronically ill people.
Objective: To determine the variation of blood pressure in hypertensive patients in neuraxial anesthesia, José Carrasco Arteaga and Vicente Corral Moscoso hospitals. Cuenca 2019.
Methods and materials: An observational and descriptive study was carried out in 2019. The population included 270 hypertensive patients scheduled for surgery with neuraxial anesthesia; the calculation of the sample was based on the following criteria: 95% confidence level, 20% probability, 5% margin of error. Each one met the inclusion criteria, sociodemographic and clinical variables were analyzed, as a result variable the frequency in percentage of post-block hypotension was observed. The data were analyzed by descriptive statistics, using the mean, standard deviation, range, minimum value, maximum value and percentages.
Results: Women represent 51.9%, the mean age was 62.45 years SD ± 14.9. The most widely used antihypertensive treatment ARA 2, the highest percentage variation in blood pressure was evidenced at 5 minutes, with a value of 14.78%, 20% of the patients who had beta-blockers or ARA 2 as antihypertensive treatment presented post-blockade hypotension moderate. Ephedrine was used as a treatment.
Conclusions: The frequency of post-block arterial hypotension that occurred was 31.48%.