AN EVALUATION OF CARDIAC BIO -MARKERS LEVELS AFTER PLASTIC FACE SURGERIES UNDER HYPOTENSIVE ANESTHESIA

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FARHADI KHOSRO; YARI MITRA; FAZELI SHAHRAM

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2013 | Volume:35 | Issue:81 Page(s): 12-17

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Title

AN EVALUATION OF CARDIAC BIO -MARKERS LEVELS AFTER PLASTIC FACE SURGERIES UNDER HYPOTENSIVE ANESTHESIA

Author(s)

FARHADI KHOSRO | YARI MITRA | FAZELI SHAHRAM | Issue Writer Certificate

Keywords

INDUCED HYPOTENSIONQ2

TROPONINQ1

MYOCARDIAL ISCHEMIAQ2

Abstract

Introduction: Cosmetic surgery procedures because of prolonged use of INDUCED HYPOTENSION, bleeding, and the relative hypovolemia, have special considerations. Some believe that prolonged intraoperative hypotension can cause MYOCARDIAL ISCHEMIA and increase in TROPONIN level in the absence of myocardial infarction and can occur only with small size cardio necrosis. Present study was designed to investigate the possibility of intraoperative MYOCARDIAL ISCHEMIA with CPK-MB and TROPONIN measurement after cosmetic surgery procedures to determine whether INDUCED HYPOTENSION can cause an increased risk of intraoperative myocardial injury?Materials and methods: 40 candidates for facial plastic surgery and rhinoplasty, ASA I- II patients, aged 17-45 years were included. Anesthesia protocol was similar in all patients. 6 hours after the end of surgery, in all patients’ TROPONIN I and CPK-MB were measured and the results were compared.Results: CPK-MB and TROPONIN I was in the normal range in all patients. Mean CPK-MB was 22.5±8.3 and mean TROPONIN I was 0.29±0.26, Mean amount of bleeding=213.75cc (maximum=450cc and minimum=100cc).Conclusion: Face plastic surgery and the use of INDUCED HYPOTENSION have no additional risk for MYOCARDIAL ISCHEMIA, thus prevention of perioperative adverse events in these patients can prevent perioperative death and complications.

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APA: Copy

FARHADI, KHOSRO, YARI, MITRA, & FAZELI, SHAHRAM. (2013). AN EVALUATION OF CARDIAC BIO -MARKERS LEVELS AFTER PLASTIC FACE SURGERIES UNDER HYPOTENSIVE ANESTHESIA. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 35(81), 12-17. SID. https://sid.ir/paper/63394/en

Vancouver: Copy

FARHADI KHOSRO, YARI MITRA, FAZELI SHAHRAM. AN EVALUATION OF CARDIAC BIO -MARKERS LEVELS AFTER PLASTIC FACE SURGERIES UNDER HYPOTENSIVE ANESTHESIA. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2013;35(81):12-17. Available from: https://sid.ir/paper/63394/en

IEEE: Copy

KHOSRO FARHADI, MITRA YARI, and SHAHRAM FAZELI, “AN EVALUATION OF CARDIAC BIO -MARKERS LEVELS AFTER PLASTIC FACE SURGERIES UNDER HYPOTENSIVE ANESTHESIA,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 35, no. 81, pp. 12–17, 2013, [Online]. Available: https://sid.ir/paper/63394/en

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