Table 3.
Perioperative hemodynamic data in 13 patients with postural orthostatic tachycardia syndrome undergoing general anesthesia
Patient and procedure (positioning) | Preoperative | Induction | Maintenance | |||||||
---|---|---|---|---|---|---|---|---|---|---|
BP (mmHg) | HR (bpm) | MinHR (bpm) | BP(mmHg) | MaxHR (bpm) | BP(mmHg) | MinHR (bpm) | BP(mmHg) | MaxHR (bpm) | BP(mmHg) | |
Patient 1 Lipoma excision (supine) |
150/80 | 110 | 100 | 145/70 | 105 | 145/95 | 100 | 145/70 | 105 | 145/95 |
Patient 2 Decompressive lumbar laminectomy (prone) |
120/80 | 76 | 62 | 70/28 | 98 | 117/77 | 62 | 117/77 | 98 | 70/28 |
Patient 3 Right thoracic sympathectomy (left lateral) |
120/80 | 88 | 75 | 100/50 | 105 | 110/60 | 75 | 100/50 | 105 | 110/60 |
Patient 4 Exploratory laparotomy (Trendelenburg) |
110/75 | 73 | 67 | 94/50 | 108 | 127/72 | 85 | 121/70 | 90 | 121/74 |
Patient 5 Cystoscopy (lithotomy) |
125/75 | 70 | 71 | 123/83 | 91 | 140/81 | 71 | 123/83 | 91 | 140/81 |
Patient 6 Hysteroscopy, D&C, cystoscopy, laparoscopy (lithotomy) |
130/80 | 70 | 70 | 130/65 | 70 | 125/75 | 70 | 130/65 | 70 | 125/75 |
Patient 7 Resection cervical rib (supine) |
120/80 | 70 | 70 | 115/70 | 80 | 115/70 | 70 | 115/70 | 80 | 115/70 |
Patient 8 Left thyroid lobectomy (reverse Trendelenburg) |
106/60 | 45 | 48 | 102/60 | 52 | 102/75 | 48 | 102/60 | 52 | 102/75 |
Patient 9 ORIF frontal sinus fracture (supine) |
110/55 | 61 | 57 | 106/42 | 66 | 89/36 | 57 | 106/42 | 66 | 89/36 |
Patient 10 Laparoscopy & hysteroscopy (Trendelenburg) |
104/56 | 74 | 75 | 91/56 | 147 | 108/64 | 75 | 91/56 | 147 | 108/64 |
Patient 11 Atrial pacemaker lead extraction (supine) |
110/68 | 64 | 85 | 121/70 | 90 | 121/74 | 67 | 94/50 | 108 | 127/72 |
Patient 12 Removal spinal cord stimulator and cable (right lateral) |
143/71 | 59 | 54 | 156/58 | 62 | 156/58 | 54 | 156/58 | 62 | 156/58 |
Patient 13 Excision perimandibular lymph node (supine) |
130/80 | Unkown | 83 | 101/58 | 90 | 113/60 | 83 | 101/58 | 90 | 113/60 |
Intraoperative hemodynamics given as minimum heart rate (HR) with corresponding blood pressure (BP) and maximum HR with corresponding BP.
D&C=dilatation and curettage, ORIF=open reduction internal fixation.