Retrospective analysis of risk factors of hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene blockade in the sitting position
Background: Hypotensive bradycardic events (HBEs) are a frequent adverse event in patients who underwent shoulder arthroscopic surgery under interscalene block (ISB) in the sitting position. This retrospective study was conducted to investigate the independent risk factors of HBEs in shoulder arthro...
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| Veröffentlicht in: | Korean journal of anesthesiology 2020, 73(6), , pp.542-549 |
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| creator | Ryu, Taeha Kim, Baek Jin Woo, Seong Jun Lee, So Young Lim, Jung A. Kwak, Sang Gyu Roh, Woon Seok |
| description | Background: Hypotensive bradycardic events (HBEs) are a frequent adverse event in patients who underwent shoulder arthroscopic surgery under interscalene block (ISB) in the sitting position. This retrospective study was conducted to investigate the independent risk factors of HBEs in shoulder arthroscopic surgery under ISB in the sitting position.
Methods: A total of 2,549 patients who underwent shoulder arthroscopic surgery under ISB and had complete clinical data were included in the study. The 357 patients who developed HBEs were included in the HBEs group, and the remaining 2,192 in the non-HBEs group. The potential risk factors for HBEs, such as age, sex, past medical history, anesthetic characteristics, and intraoperative medications were collected and compared between the groups. Statistically significant variables were included in a logistic regression model to further evaluate the independent risk factors for HBEs in shoulder arthroscopic surgery under ISB.
Results: The incidence of HBEs was 14.0% (357/2549). Logistic regression analysis revealed that the intraoperative use of hydralazine (odds ratio [OR] 4.2, 95% CI 2.9-6.3), propofol (OR 2.1, 95% CI 1.3-3.6), and dexmedetomidine (OR 3.9, 95% CI 1.9-7.8) before HBEs were independent risk factors for HBEs in patients who received shoulder arthroscopic surgery under ISB.
Conclusions: The intraoperative use of antihypertensives such as hydralazine and sedatives such as propofol or dexmedetomidine leads to increased risk of HBEs during shoulder arthroscopic surgery under ISB in the sitting position. |
| doi_str_mv | 10.4097/kja.20035 |
| format | Article |
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Methods: A total of 2,549 patients who underwent shoulder arthroscopic surgery under ISB and had complete clinical data were included in the study. The 357 patients who developed HBEs were included in the HBEs group, and the remaining 2,192 in the non-HBEs group. The potential risk factors for HBEs, such as age, sex, past medical history, anesthetic characteristics, and intraoperative medications were collected and compared between the groups. Statistically significant variables were included in a logistic regression model to further evaluate the independent risk factors for HBEs in shoulder arthroscopic surgery under ISB.
Results: The incidence of HBEs was 14.0% (357/2549). Logistic regression analysis revealed that the intraoperative use of hydralazine (odds ratio [OR] 4.2, 95% CI 2.9-6.3), propofol (OR 2.1, 95% CI 1.3-3.6), and dexmedetomidine (OR 3.9, 95% CI 1.9-7.8) before HBEs were independent risk factors for HBEs in patients who received shoulder arthroscopic surgery under ISB.
Conclusions: The intraoperative use of antihypertensives such as hydralazine and sedatives such as propofol or dexmedetomidine leads to increased risk of HBEs during shoulder arthroscopic surgery under ISB in the sitting position.</description><identifier>ISSN: 2005-6419</identifier><identifier>EISSN: 2005-7563</identifier><identifier>DOI: 10.4097/kja.20035</identifier><identifier>PMID: 32213804</identifier><language>eng</language><publisher>SEOUL: Korean Soc Anesthesiologists</publisher><subject>Anesthesiology ; brachial plexus block ; bradycardia ; Clinical ; hypotension ; Life Sciences & Biomedicine ; logistic regression ; risk factors ; Science & Technology ; shoulder arthroscopy ; syncope ; 마취과학</subject><ispartof>Korean Journal of Anesthesiology, 2020, 73(6), , pp.542-549</ispartof><rights>Copyright © The Korean Society of Anesthesiologists, 2020 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>4</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000595719300009</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c475t-d8b65da2eafe08da1fa928adc11255e7435299c641d67e4f27906c5c1c8861413</citedby><cites>FETCH-LOGICAL-c475t-d8b65da2eafe08da1fa928adc11255e7435299c641d67e4f27906c5c1c8861413</cites><orcidid>0000-0003-4868-9065 ; 0000-0001-8307-9698 ; 0000-0003-0398-5514 ; 0000-0002-5973-7715 ; 0000-0002-5257-9590 ; 0000-0002-7427-5483 ; 0000-0002-3654-9797</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714633/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714633/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2115,27929,27930,28253,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32213804$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002651945$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Ryu, Taeha</creatorcontrib><creatorcontrib>Kim, Baek Jin</creatorcontrib><creatorcontrib>Woo, Seong Jun</creatorcontrib><creatorcontrib>Lee, So Young</creatorcontrib><creatorcontrib>Lim, Jung A.</creatorcontrib><creatorcontrib>Kwak, Sang Gyu</creatorcontrib><creatorcontrib>Roh, Woon Seok</creatorcontrib><title>Retrospective analysis of risk factors of hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene blockade in the sitting position</title><title>Korean journal of anesthesiology</title><addtitle>KOREAN J ANESTHESIOL</addtitle><addtitle>Korean J Anesthesiol</addtitle><description>Background: Hypotensive bradycardic events (HBEs) are a frequent adverse event in patients who underwent shoulder arthroscopic surgery under interscalene block (ISB) in the sitting position. This retrospective study was conducted to investigate the independent risk factors of HBEs in shoulder arthroscopic surgery under ISB in the sitting position.
Methods: A total of 2,549 patients who underwent shoulder arthroscopic surgery under ISB and had complete clinical data were included in the study. The 357 patients who developed HBEs were included in the HBEs group, and the remaining 2,192 in the non-HBEs group. The potential risk factors for HBEs, such as age, sex, past medical history, anesthetic characteristics, and intraoperative medications were collected and compared between the groups. Statistically significant variables were included in a logistic regression model to further evaluate the independent risk factors for HBEs in shoulder arthroscopic surgery under ISB.
Results: The incidence of HBEs was 14.0% (357/2549). Logistic regression analysis revealed that the intraoperative use of hydralazine (odds ratio [OR] 4.2, 95% CI 2.9-6.3), propofol (OR 2.1, 95% CI 1.3-3.6), and dexmedetomidine (OR 3.9, 95% CI 1.9-7.8) before HBEs were independent risk factors for HBEs in patients who received shoulder arthroscopic surgery under ISB.
Conclusions: The intraoperative use of antihypertensives such as hydralazine and sedatives such as propofol or dexmedetomidine leads to increased risk of HBEs during shoulder arthroscopic surgery under ISB in the sitting position.</description><subject>Anesthesiology</subject><subject>brachial plexus block</subject><subject>bradycardia</subject><subject>Clinical</subject><subject>hypotension</subject><subject>Life Sciences & Biomedicine</subject><subject>logistic regression</subject><subject>risk factors</subject><subject>Science & Technology</subject><subject>shoulder arthroscopy</subject><subject>syncope</subject><subject>마취과학</subject><issn>2005-6419</issn><issn>2005-7563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>DOA</sourceid><recordid>eNqNktGOEyEUhidG427WvfAFzFxqTFcYBpi5Mdk0uttkE5PNek0YOLS0UxiBqenj-KYyba3undwcOHzn5wB_UbzF6KZGLf-0WcubCiFCXxSXOdIZp4y8PM1ZjduL4jrGNcqDEIRY9bq4IFWFSYPqy-LXI6Tg4wAq2R2U0sl-H20svSmDjZvSSJV8OKxX-8EncHHiuiD1XsmgrSphBy7FUo_BumUZV37sNYRShrTKysoPmYljWELYl6ObtqxLEKKSPbgs1Xu1kRpytkwrKKNNaRIafJ5Z794Ur4zsI1yf4lXx_euXp_n97OHb3WJ--zBTNadpppuOUS0rkAZQoyU2sq0aqRXGFaXAa0KrtlX5QTTjUJuKt4gpqrBqGoZrTK6KD0ddF4zYKCu8tIe49GITxO3j00K0DGPWoMwujqz2ci2GYLcy7A8Fh4QPS5Gvb1UPwgDnlDDolCG1xF2jKWOmJbphhAOrs9bno9YwdlvQKj9mkP0z0ec7zq5yTzvBOa4ZIVng_Ukg-B8jxCS2Niroe-nAj1FUpKmr3Dejf--o8s_EAOZ8DEZicpPIbhIHN2X23b99nck_3slAcwR-QudNVBacgjOW7UZbynFLJue1c5vk9JtzP7qUSz_-fyn5DTMn6vQ</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Ryu, Taeha</creator><creator>Kim, Baek Jin</creator><creator>Woo, Seong Jun</creator><creator>Lee, So Young</creator><creator>Lim, Jung A.</creator><creator>Kwak, Sang Gyu</creator><creator>Roh, Woon Seok</creator><general>Korean Soc Anesthesiologists</general><general>Korean Society of Anesthesiologists</general><general>대한마취통증의학회</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>ACYCR</scope><orcidid>https://orcid.org/0000-0003-4868-9065</orcidid><orcidid>https://orcid.org/0000-0001-8307-9698</orcidid><orcidid>https://orcid.org/0000-0003-0398-5514</orcidid><orcidid>https://orcid.org/0000-0002-5973-7715</orcidid><orcidid>https://orcid.org/0000-0002-5257-9590</orcidid><orcidid>https://orcid.org/0000-0002-7427-5483</orcidid><orcidid>https://orcid.org/0000-0002-3654-9797</orcidid></search><sort><creationdate>20201201</creationdate><title>Retrospective analysis of risk factors of hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene blockade in the sitting position</title><author>Ryu, Taeha ; Kim, Baek Jin ; Woo, Seong Jun ; Lee, So Young ; Lim, Jung A. ; Kwak, Sang Gyu ; Roh, Woon Seok</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-d8b65da2eafe08da1fa928adc11255e7435299c641d67e4f27906c5c1c8861413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anesthesiology</topic><topic>brachial plexus block</topic><topic>bradycardia</topic><topic>Clinical</topic><topic>hypotension</topic><topic>Life Sciences & Biomedicine</topic><topic>logistic regression</topic><topic>risk factors</topic><topic>Science & Technology</topic><topic>shoulder arthroscopy</topic><topic>syncope</topic><topic>마취과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ryu, Taeha</creatorcontrib><creatorcontrib>Kim, Baek Jin</creatorcontrib><creatorcontrib>Woo, Seong Jun</creatorcontrib><creatorcontrib>Lee, So Young</creatorcontrib><creatorcontrib>Lim, Jung A.</creatorcontrib><creatorcontrib>Kwak, Sang Gyu</creatorcontrib><creatorcontrib>Roh, Woon Seok</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><collection>Korean Citation Index</collection><jtitle>Korean journal of anesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ryu, Taeha</au><au>Kim, Baek Jin</au><au>Woo, Seong Jun</au><au>Lee, So Young</au><au>Lim, Jung A.</au><au>Kwak, Sang Gyu</au><au>Roh, Woon Seok</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retrospective analysis of risk factors of hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene blockade in the sitting position</atitle><jtitle>Korean journal of anesthesiology</jtitle><stitle>KOREAN J ANESTHESIOL</stitle><addtitle>Korean J Anesthesiol</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>73</volume><issue>6</issue><spage>542</spage><epage>549</epage><pages>542-549</pages><issn>2005-6419</issn><eissn>2005-7563</eissn><abstract>Background: Hypotensive bradycardic events (HBEs) are a frequent adverse event in patients who underwent shoulder arthroscopic surgery under interscalene block (ISB) in the sitting position. This retrospective study was conducted to investigate the independent risk factors of HBEs in shoulder arthroscopic surgery under ISB in the sitting position.
Methods: A total of 2,549 patients who underwent shoulder arthroscopic surgery under ISB and had complete clinical data were included in the study. The 357 patients who developed HBEs were included in the HBEs group, and the remaining 2,192 in the non-HBEs group. The potential risk factors for HBEs, such as age, sex, past medical history, anesthetic characteristics, and intraoperative medications were collected and compared between the groups. Statistically significant variables were included in a logistic regression model to further evaluate the independent risk factors for HBEs in shoulder arthroscopic surgery under ISB.
Results: The incidence of HBEs was 14.0% (357/2549). Logistic regression analysis revealed that the intraoperative use of hydralazine (odds ratio [OR] 4.2, 95% CI 2.9-6.3), propofol (OR 2.1, 95% CI 1.3-3.6), and dexmedetomidine (OR 3.9, 95% CI 1.9-7.8) before HBEs were independent risk factors for HBEs in patients who received shoulder arthroscopic surgery under ISB.
Conclusions: The intraoperative use of antihypertensives such as hydralazine and sedatives such as propofol or dexmedetomidine leads to increased risk of HBEs during shoulder arthroscopic surgery under ISB in the sitting position.</abstract><cop>SEOUL</cop><pub>Korean Soc Anesthesiologists</pub><pmid>32213804</pmid><doi>10.4097/kja.20035</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4868-9065</orcidid><orcidid>https://orcid.org/0000-0001-8307-9698</orcidid><orcidid>https://orcid.org/0000-0003-0398-5514</orcidid><orcidid>https://orcid.org/0000-0002-5973-7715</orcidid><orcidid>https://orcid.org/0000-0002-5257-9590</orcidid><orcidid>https://orcid.org/0000-0002-7427-5483</orcidid><orcidid>https://orcid.org/0000-0002-3654-9797</orcidid><oa>free_for_read</oa></addata></record> |
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| source | KoreaMed Synapse; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; KoreaMed Open Access; Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; PubMed Central |
| subjects | Anesthesiology brachial plexus block bradycardia Clinical hypotension Life Sciences & Biomedicine logistic regression risk factors Science & Technology shoulder arthroscopy syncope 마취과학 |
| title | Retrospective analysis of risk factors of hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene blockade in the sitting position |
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