Why the study?
Less attention has been paid to neuroendocrine reactions and the protective mechanisms of regional anesthesia against postoperative cardiac complications in non-cardiosurgical operations.
Does regional anesthesia prevent postoperative cardiac complications in patients undergoing non-cardiosurgical operations?
Does regional anesthesia prevent postoperative cardiac complications in patients undergoing non-cardiosurgical operations?
This review highlights the potential mechanisms by which regional anesthesia may protect against cardiac complications during non-cardiac surgery, particularly through modulation of neuroendocrine responses.
Neuroendocrine factors merit greater perioperative attention; leaves open regional anesthesia's protective role pending prospective trials.
Data on factors contributing to the development of postoperative cardiac complications (myocardial infarction, heart failure, cardiac arrhythmias) in non-cardiosurgical operations are presented. Hypotension and blood loss are usually distinguished among such factors, but less attention is paid to the role of neuroendocrine reactions, in particular, hyperactivation of the sympathoadrenal system; the protective effect of anesthesia, in particular, regional anesthesia: epidural anesthesia and spinal anesthesia. Therefore, the review focuses on the description of the protective effects of regional anesthesia and their mechanisms, in particular, the prevention of the development of postoperative neurogenic dystrophy of internal organs, including the cardiovascular system.
No takes yet. Share an insight, caveat, or question.
Забродин et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: