Variación de signos vitales en pacientes sometidos a anestesia general balanceada y anestesia total intravenosa en el Hospital Vicente Corral Moscoso, Cuenca, 2019

Abstract

Introduction: few studies describe the existing variability in vital signs when using total intravenous anesthesia (TIVA) and balanced general anesthesia (BGA), being necessary to obtain these data to avoid adverse events. Objective: to describe the variation of vital signs in patients undergoing BGA and TIVA at the Vicente Corral Moscoso Hospital, 2019. Methodology: descriptive observational study, 384 patients, from January to December 2019. The population consisted of patients under BGA or TIVA. Data was transcribed from the clinical history forms and analyzed with the SPSS 22.0 system. Results: 48.20% of the patients were aged between 26 and 45 years, 55.50% were female, and 67.20% belonged to ASA I (classification used by the American Society of Anesthesiologists), 50% to TIVA and 50% to BGA. As for the extubation time with TIVA, 64.06% were extubated between 0 to 5 minutes, and 27.6% with BGA. Comparing the mean blood pressure variability of TIVA (70.80 ± 6.32 mmHg) and AGB (67.80 ± 4.92 mmHg), a significant difference was found with a p < 0.05. When comparing medians of heart rates at all surgical times between the two types of anesthesia, no statistically significant difference was found with p > 0.05. At 32.81% of the patients received inotropic drugs, the majority was with AGB with 27.86%. Conclusions: hemodynamic variability determined by heart rate and blood pressure, the TIVA group showed fewer alterations than the AGB group, in agreement with international studies.