introduction: hemodynamic alterations are a common complication during anesthetic induction with intravenous anesthesia. hypotension due to propofol injection may be very severe in cardiac vascular patient. ketamine produces the significant increasing but temporary in systematic blood stream, heartbeat, cardiac output through central sympathetic stimulation. objective : to determine effect of k...

objectives this study evaluates the effects of oral tizanidine on hemodynamic responses during operations and aims to determine the appropriate propofol dosage to maintain anesthesia under bis monitoring. materials and methods a double-blind clinical trial has been performed on 70 candidates for elective abdominal surgery undergoing general anesthesia in educational hospital of ghaem, mashhad, ...

background: to determine if the glidescope® videolaryngoscope (gvl) could attenuate the hemodynamic responses to orotracheal intubation compared with conventional macintosh laryngoscope. objectives: the aim of this relatively large randomized trial was to compare the hemodynamic stress responses during laryngoscopy and tracheal intubation using gvl versus mcl amongst healthy adult individuals r...

context despite advancements in the science of surgery, minimizing bleeding from parenchymal tissue of the liver continues to be one of the challenges surgeons are facing to protect patients’ lives. however, the number of surgeries needing incisions in the liver tissue, e.g. metastatectomy, is constantly increasing. conclusions the excessive blood loss and the long time needed to control the bl...

a b s t r a c t a 36-year-old male patient with posttraumatic cervical cord damage and resultant quadriparesis, demonstrated hypotension and periods of bradycardia. for most of his two-month stay in the intensive care unit (icu), he was dependent on dopamine support to maintain hemodynamic stability. keeping in mind evidence from the literature, that electrostimulation of acupoints neiguan (pc ...

background: cardiopulmonary bypass is associated with increased fluid accumulation around the heart which influences pulmonary and cardiac diastolic function. the aim of this study was to compare the effects of modified ultrafiltration (muf) versus conventional ultrafiltration (cuf) on duration of mechanical ventilation and hemodynamic status in children undergoing congenital heart surgery.mate...

background: keeping the patient in a sitting or semi-sitting position for time-consuming oncoplastic breast surgery is a major challenge for anesthesiologists due to several considerations. this cohort study was conducted on two groups of patients undergoing breast surgery. methods: study participants were categorized into two groups: one group was composed of normotensive women (group a) and t...

Hemodynamic instability frequently occurs in critically ill patients. Pathophysiological rationale suggests that hemodynamic monitoring (HM) may identify the presence and causes of hemodynamic instability and therefore may allow targeting therapeutic approaches. However, there is a discrepancy between this pathophysiological rationale to use HM and a paucity of formal evidence (as defined by th...

conclusions we found that 0.3 mcg/kg of sufentanil attenuates cardiovascular responses to double-lumen endobronchial intubation without adverse effects. background sufentanil is a potent opioid analgesic frequently used in clinical anesthesia. double-lumen endobronchial intubation induces profound cardiovascular responses in comparison with ordinary endotracheal intubation because of the larger...

background: controlling the hemodynamic situation of patients who have spinal operation is of prime importance, and maintaining the heart rate and blood pressure in normal or low- normal levels in these patients can reduce their bleeding loss. one of the commonly used drugs for this purpose is remifentanil. another sedative-hypnotic-analgesic drug, with acceptable effects is dexmedetomidine. th...