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The impact of autonomic dysfunction on peri‐operative cardiovascular complications
Author(s) -
Lankhorst S.,
Keet S. W. M.,
Bulte C. S. E.,
Boer C.
Publication year - 2015
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.12904
Subject(s) - medicine , hemodynamics , diabetes mellitus , autonomic function , autonomic neuropathy , anesthesia , perioperative , complication , autonomic nervous system , surgery , blood pressure , heart rate variability , heart rate , endocrinology , biology , cell culture , genetics , neuroblastoma
Summary Cardiovascular autonomic neuropathy is frequently observed in patients with diabetes mellitus. As anaesthesia has a marked effect on peri‐operative autonomic function, the interplay between diabetic neuropathy and anaesthesia may result in unexpected haemodynamic instability during surgery. The objective of this literature review was to examine the association of cardiovascular autonomic neuropathy with peri‐operative cardiovascular complications. We searched PubMed for articles with search elements of autonomic dysfunction [MeSH] AND anaesthesia [ MeSH ] AND complications [ MeSH ]. Depending on the type of anaesthesia, the presence of cardiovascular autonomic neuropathy in surgical patients can markedly affect peri‐operative haemodynamics and postoperative recovery. Pre‐operative testing of the extent of autonomic dysfunction in particular populations, like diabetics, may contribute to a reduction in haemodynamic instability and cardiovascular complications. Non‐invasive diagnostic methods assessing autonomic function may be an important tool during pre‐operative risk assessment.