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The use of heart rate variability (HRV) and heart rate complexity (HRC) as predictors for patient's response to deliberate hypotensive anaesthesia during functional endoscopic sinus surgery (FESS) /

Mohamed Nabil Elshafei Abdulkader

The use of heart rate variability (HRV) and heart rate complexity (HRC) as predictors for patient's response to deliberate hypotensive anaesthesia during functional endoscopic sinus surgery (FESS) / استخدام متغير معدل ضربات القلب وتعقيد معدل ضربات القلب كمتنبئات للاستجابة للتخدير الخافض لضغط الدم المحسوب في المرضى الخاضعين لعملية المنظار الوظيفي للجيوب الانفية Mohamed Nabil Elshafei Abdulkader ; Supervised Nevan M. Abass Elmekawy , Sahar Mohamed Elshal , Mohammed Ebrahim Amin - Cairo : Mohamed Nabil Elshafei Abdulkader , 2018 - 112 P. : charts , facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia

Deliberate hypotensive anaesthesia (DH) is a technique in which the arterial blood pressure is reduced in a predictable and controlled manner. The main advantage of this technique is to minimize bleeding and improve the surgical field to achieve better intra-operative conditions and less post-operative complications. Several techniques have been used to produce DH including: direct vasodilators, beta blockers, alpha2 adrenergic agonists, and calcium channel blockers. Nitroglycerin is widely used in induction of hypotensive anaesthesia being a potent direct venodilator at low dose and arteriodilator at high dose reducing both preload and afterload



FESS HRC HRV