Open AccessEffects of Spinal Anaesthesia on Left Ventricular Function: An Observational Study using Two-Dimensional Strain Echocardiography
Author(s) -
Fabrice Ferré,
Clément Delmas,
Didier Carrié,
Thomas Cognet,
Olivier Lairez
Publication year - 2018
Publication title -
türk anestezi ve reanimasyon dergisi
Language(s) - English
Resource type - Journals
ISSN - 2149-0937
DOI - 10.5152/tjar.2018.48753
Subject(s) - medicine , preload , contractility , cardiology , ejection fraction , anesthesia , spinal anesthesia , bupivacaine , strain (injury) , cardiac function curve , hemodynamics , heart failure
Hypotension frequently occurs during spinal anaesthesia (SA), especially in the elderly. This side effect could have a cardiac component per se (myocardial contractility impairment). Two-dimensional (2D) strain and strain rate imaging are new echocardiographic methods allowing an accurate assessment of myocardial function by quantifying myocardial deformation. Allowing quantification of minor myocardial dysfunction not detectable by standard echocardiography, strain imaging could bring new perspective on the cardiac effect of SA. Our objective was to evaluate the effects of SA on left ventricular function assessed by 2D strain echocardiography.