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SM ISO690:2012 MANASTÂRSCHI, Stanislav. Stabilitatea hemodinamică a tehnicii ofa versus tiva de anestezie în chirurgia minim invazivă ginecologică: studiu pilot. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 424. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 424-424 | ||||||
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Background. The general intravenous anesthesia technique without opioids (OFA) has been developed and studied since 2015. The expected benefit is avoidance of immediate and lasting adverse effects of opioids, while maintaining the quality and safety of the classic TIVA anesthesia technique. Objective of the study. Comparison of intraoperative hemodynamic stability in gynecologic minimally invasive surgery, provided by TIVA versus OFA anesthesia techniques. Material and Methods. Prospective, randomized study. Research Ethics Committee approved. Signed informed agreement. The basic hemodynamic parameters were recorded: systolic (SBP), diastolic (DBP) and mean (MAP) blood pressure, heart rate (HR). Statistical test: t-Student unpaired bicaudal. Statistical software: IBM SPSS Statistics v. 22. Data are presented as avarage value and standard deviation. Results. 47 young adult patients ASA I-II admited for scheduled interventions (22 - TIVA, 25 – OFA) enroled. OFA vs. TIVA. SBP=122.1±11.7 mmHg vs. 124.2±11.7 mmHg (p=0.57);DBP = 82,2±8,9 mmHg vs. 81,7±9,0 mmHg (p=0,759); MAP=94.2±8.1 mmHg and 94.6±9.9 mmHg respectively (p = 0.9); HR=74.6±11.3 bpm vs. 80.1±9.1 bpm (p = 0.096). Adverse haemodynamic events (deviations ± 15% from pre-induction period) were not observed. Conclusion. The OFA anesthesia technique ensures an intraoperative hemodynamic stability similar to the TIVA anesthesia technique. OFA can be considered a safe anesthesia technique from this point of view. |
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Cuvinte-cheie opioid-free anesthesia, TIVA, hemodynamic stability, anestezia fără opioide, stabilitate hemodinamică, TIVA |
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