An Examination of Real-Time Heart Rate Variability During Laparoscopic Cholecystectomies and Radical Surgeries

Abstract

The physiologic status of patients undergoing surgical procedures requiring general anesthesia must be continuously monitored to ensure patient safety. New technologies capable of detecting even minute changes in physiologic status might be useful in providing feedback to operating room physicians as to any immediately resulting effects of their surgical interventions. The present study investigated autonomic nervous system (ANS) monitoring based on real- time Heart Rate Variability (n-HRV) as a technique for monitoring the physiologic status of patients undergoing surgery. This study analyzed ANS monitoring and hemodynamic data collected on two populations of general anesthesia patients at William Beaumont Hospital in Royal Oak, MI. The patient populations were composed of individuals undergoing laparoscopic cholecystectomies and radical surgeries. The ANS monitoring data collected included: 1) low-frequency area (LFa, in beats per minute squared), 2) high-frequency area (HFa), and 3) the ratio of low- to high- frequency areas (LFa/HFa = Ratio). The hemodynamic data collected included: 1) heart rate, 2) mean arterial pressure, 3) arterial hemoglobin oxygen saturation measured by pulse oxymetry, and 4) inspired fraction of oxygen concentration.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2000
Accession Number
ADA388130

Entities

People

  • C. Woo
  • D. S. Gorguze
  • J. Colombo
  • K. Zaglaniczny
  • W. Shoemaker

Organizations

  • Naval Health Research Center

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Anesthesia
  • Autonomic Nervous System
  • Cardiovascular Physiological Phenomena
  • Electrocardiography
  • Frequency
  • Health Services
  • Heart Rate
  • Hospitals
  • Intubation
  • Medical Personnel
  • Monitoring
  • Nervous System
  • Oxygenation
  • Physiological Monitoring
  • Sedation
  • Surgery
  • Therapy

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Trauma or Military Medicine