Changes in vegetative regulation at stages of pre-operative preparation and after tracheal intubation in patients with a general surgery profile

Authors

  • Константин Петрович Воробьев Lugansk State Medical University, 91045, Ukraine, Lugansk, kv. 50-letiia Oborony Luganska, 1g
  • Кирилл Владиславович Митрохин Lugansk State Medical University, 91045, Ukraine, Lugansk, kv. 50-letiia Oborony Luganska, 1g

DOI:

https://doi.org/10.21638/11701/spbu11.2018.101

Abstract

A pilot study that traced the parameters of heart rate variability was performed in the initial preoperative examination of an anaesthesiologist, on the eve of surgery, after premedication, induction and intubation of the trachea in general surgical patients. The most stable early characteristic of preoperative stress is tachycardia (p = 0.0008). A typical response of the body to preoperative stress is also a decrease in the standard deviation of the sample of cardio interval durations (p = 0.003), and suppression of the total spectral power, mostly high-frequency components (p = 0.028). New scientific facts about the diagnostic significance of the rate of autocorrelation of the heart rhythm (p = 0.003) in assessing the autonomic response of the body to intubation of the trachea are obtained. The results of this preliminary study revealed regular reactions of the autonomic nervous system to preoperative stress in the form of activation of sympathetic tone, increased synchronization of regulatory processes, regular changes in the dynamics of peak powers of the heart rate spectrum.

Keywords:

preoperative stress,, vegetative regulation, heart rate variability, intubation of the trachea

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References


References

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Вестник Санкт-Петербургского университета. Медицина

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Published

2018-03-27

How to Cite

Воробьев, К. П., & Митрохин, К. В. (2018). Changes in vegetative regulation at stages of pre-operative preparation and after tracheal intubation in patients with a general surgery profile. Vestnik of Saint Petersburg University. Medicine, 13(1), 5–15. https://doi.org/10.21638/11701/spbu11.2018.101

Issue

Vol. 13 No. 1 (2018)

Section

Anesthesiology and intensive care

License

Articles of "Vestnik of Saint Petersburg University. Medicine" are open access distributed under the terms of the License Agreement with Saint Petersburg State University, which permits to the authors unrestricted distribution and self-archiving free of charge.