Open AccessHeart rate variability in laparoscopic hysterectomy depending on different types of anesthesia
Author(s) -
С.П. Зайченко,
R Tkachenko
Publication year - 2021
Publication title -
reproductive health of woman
Language(s) - English
Resource type - Journals
eISSN - 2708-8731
pISSN - 2708-8723
DOI - 10.30841/2708-8731.3.2021.234242
Subject(s) - medicine , anesthesia , hysterectomy , heart rate variability , opioid , laparoscopic hysterectomy , heart rate , fight or flight response , autonomic nervous system , laparoscopic surgery , laparoscopy , surgery , blood pressure , biochemistry , chemistry , receptor , gene
The objective: was to evaluate the effectiveness of various anesthesia options for laparoscopic hysterectomy, including low-opioid (LOA) and opioid-free anesthesia (OFA) by studying the dynamics of heart rate variability (HRV) indicators.Materials and methods. 102 patients were randomly assigned to 3 groups: 37 patients who received standard opioid anesthesia (control group), 33 women who received the LOA group, and 32 patients who received OFA.Results. Laparoscopic hysterectomy is accompanied by tension of the autonomic nervous system, especially its sympathetic link, which is manifested by an increase in the index of vago-sympathetic interaction at the traumatic stage of the operation. These changes were most significant in patients who received standard and opioid-free anesthesia, which indirectly indicates insufficient stress protection of these types of intraoperative anesthesia.Conclusions. The use of low-opioid anesthesia is accompanied by a greater stabilization of HRV indices, which indicates its sufficient autonomic protection during laparoscopic hysterectomy than standard and opioid-free anesthesia.