INCIDENCE AND PREDICTORS OF POST-INDUCTION HYPOTENSION AMONG GERIATRIC PATIENTS UNDERGOING ABDOMINAL SURGERY UNDER GENERAL ANESTHESIA

Hồng Đức Lê, Toàn Thắng Nguyễn, Đình Minh Tạ

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Abstract

Objectives: To determine the incidence and identify predictors of post-induction hypotension in geriatric patiens undergoing abdominal surgery under general anesthesia. Subjects and methods: Prospective observational cohort study; a total of 321 geriatric patients age 60 years above undergoing abdominal surgery under general anesthesia in Bach Mai Hospital from April to September of 2024 were included in the research. Results: The incidence of post-induction hypotension is 64.5%; predictors of post-induction hypotension among geriatric patients undergoing abdominal surgery under general anesthesia are ASA III, fasting time above 5 hours, preoperative hemoglobin level greater than 114g/L, history of hypertension and history of hepatic diseases (chronic hepatitis B, cirrhosis, malignancy). Conclusion: The incidence of post-induction hypotension in geriatric patients is quite high; doctors should monitor patients closely during anesthesia care and have strategies to mitigate the risk of post-induction hypotension in high-risk geriatric patients

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References

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