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March 31, 2023Anaesthesiology Intensive TherapyOpen Access

HRV analysis is a feasible, non-invasive method to gauge autonomic nervous system activity during anaesthesia, showing potential utility in predicting haemodynamic instability such as hypotension and assessing blockade efficacy.

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Why the study?

Heart rate variability analysis has been utilized across many fields of medicine for research purposes, prompting a review of its applicability and potential clinical utility in anaesthesiology.

Does heart rate variability analysis improve the assessment of blockade efficacy and prediction of adverse events in patients undergoing anaesthesia?

Design

Narrative review

Authors

MWMagdalena WujtewiczGdańsk Medical UniversityRORadosław OwczukUniversity Clinical Centre

Discussion

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Overview

HRV shows promise for anaesthetic monitoring; leaves open prospective validation before any practice change.

Structured PICO

Does heart rate variability analysis improve the assessment of blockade efficacy and prediction of adverse events in patients undergoing anaesthesia?

P
Population
Patients undergoing clinical anaesthesia, including spinal, epidural, peripheral blocks, and general anaesthesia
I
Intervention
Heart rate variability (HRV) analysis and monitoring
O
Outcome
Efficacy of blockade, adequacy of analgesia, and prediction of adverse events (e.g., hypotension)

HRV analysis offers a non-invasive method to monitor autonomic tone during anaesthesia, showing potential for predicting haemodynamic instability like hypotension, despite methodological and interpretative challenges.

Limitations

  • Interpretation of HRV can be problematic due to the multiplicity of factors that influence this parameter
  • Generalizability of research findings is limited by bias in methods introduced by researchers
  • Many studies exclude patients with diseases causing autonomic dysfunction or those taking medications affecting ANS activity

Cite This Study

Wujtewicz et al. (2023) studied this question.

synapsesocial.com/papers/6a6f78fefebe604dd7086343https://doi.org/10.5114/ait.2023.126309
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heart rate variability2017 · 36 citations
  2. 2Heart rate variability: a diagnostic and prognostic tool in anesthesia and intensive care2011 · 164 citations
  3. 3Heart rate variability as an assessment of cardiovascular status1996 · 43 citations
  4. 4Heart rate variability over the decades: a scoping review2025 · 31 citations
  5. 5Heart‐Rate Variability and Its Role in Non‐Cardiac Surgery Perioperative Care: Scoping Review2026