THE PERIOPERATIVE HEMODYNAMIC, ARTERIAL BLOOD GAS IN THE MAJOR ABDOMINAL SURGERIES

Trần Việt Đức1, Vũ Hoàng Phương1,2,
1 Hanoi Medical University Hospital
2 Hanoi Medical University

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Abstract

Major abdominal surgery is surgery that causes blood loss, fluid loss and causes many hemodynamic changes during surgery. The study was conducted at Hanoi Medical University Hospital from January to October 2021 on 138 patients to investigate intraoperative hemodynamic status and changes in arterial blood gases perioperative. The results showed that in 138 patients, 86.2% had gastrointestinal cancer surgery, hypotension after induction of anesthesia occurred in 44.9% of patients, the blood pressure decreased by 16 % averagely. Arterial blood gas test showed a tendency of mixed acidosis during surgery, after surgery there was a statistically significant decrease in PaO2 and PaO2/FiO2. Conclusion: the major abdominal surgery had a decrease in blood pressure at the induction of anesthesia, however, there was not much change in hemodynamics during surgery, and the tendency to acidosis when the surgery time was prolonged and decreased blood oxygen after surgery.

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References

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