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SM ISO690:2012 FEGHIU, Iuliana. Efectele expansiunii volemice izotonice preanestezice asupra indicilor hemodinamici şi a răspunsului cardiac autonom. In: Fiziologia şi sănătatea, 27-28 septembrie 2012, Chișinău. Chişinău Republica Moldova: Institutul de Fiziologie şi Sanocreatologie al AŞM, 2012, pp. 82-87. ISBN 978-9975-62-323-0. |
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Fiziologia şi sănătatea 2012 | ||||||
Congresul "Fiziologia şi sănătatea" Chișinău, Moldova, 27-28 septembrie 2012 | ||||||
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Pag. 82-87 | ||||||
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To determine the effects of isotonic volume overload on cardiac autonomic function and hemodynamic parameters in patients scheduled for spinal anesthesia which benefi ciated of pre-anesthetic hydration. Iin all patients, initially, before starting the pre-anesthetic volume loading, there where a state of cardiac hyper-sympathicotonia. First 10-15 minutes after starting fl uid administration, both sympathetic and parasympathetic cardiac tonuses increase. At the end of hydration, after all liquid volume was administered (10-15 ml/kg), vegetative sympathetic cardiac tonus was signifi catively reduced, meanwhile parasympathetic cardiac tonus was reduced non-signifi catively, being higher than that registered before pre-anesthetic hydration. Hemodynamic indices (TAs, TAd, MAP) increase progressively during volume expansion, meanwhile the pulse reduces progressively with hydration.Isotonic volume loading in pre-anesthesia is associated with reduced spectral component of LF, this refl ecting decreased sympathetic modulation on the heart and increased spectral component HF – refl ecting increased parasympathetic (vagal) modulation on the heart. This can be explained by arterial-cardiac barorefl ex coupling, which is manifested hemodinamically by progressive increase of TAs, TAd, MAP, and progressive reduction of heart rate. |
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Cuvinte-cheie low frequency, high frequency, RR variability |
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