NDLI: Heart rate variability analysis for arterial hypertension etiological diagnosis during surgical procedures under tourniquet

Content Provider	IEEE Xplore Digital Library
Author	Logier, R. De jonckheere, J. Delecroix, M. Keribedj, A. Jeanne, M. Jounwaz, R. Tavernier, B.
Copyright Year	2011
Description	Author affiliation: Clinique d'anesthésie réanimation University Hospital of Lille, H. Salengro, 2 avenue Oscar Lambret, 59037 Lille Cedex, France (Delecroix, M.; Keribedj, A.; Jeanne, M.; Tavernier, B.) \|\| INSERM CIC-IT 807, University Hospital of Lille, Institut Hippocrate, 2 avenue Oscar Lambret 59037 Lille Cedex, France (Logier, R.; De jonckheere, J.; Jounwaz, R.)
Abstract	Pneumatic tourniquets are widely used to provide a bloodless operative field during upper or lower limb surgery. If tourniquet inflation during general anesthesia is initially a mild stimulus, a long duration of inflation can imply heart rate and blood pressure increasing. However, heart rate or blood pressure increasing can also be caused by other external stimuli. Indeed, in the case of an insufficient analgesia, painful surgical stimuli can also cause an increase in heart rate and blood pressure. Therefore, in the case of the use of a tourniquet during surgery, it's very difficult for the anesthesiologist to distinguish hypertension caused by pain from hypertension caused by tourniquet inflation. In such a case, an efficient and reliable hypertension diagnosis could help the anesthesiologist in the medication choice. We have previously developed and evaluated an Analgesia / Nociception Index (ANI) based on the magnitude analysis of the respiratory patterns on the RR series. We hypothesize that the use of such an index could help in the arterial hypertension etiological diagnosis during surgical procedures under tourniquet.
Starting Page	3776
Ending Page	3779
File Size	524425
Page Count	4
File Format	PDF
ISBN	9781424441211
ISSN	1557170X
e-ISBN	9781457715891
e-ISBN	9781424441228
DOI	10.1109/IEMBS.2011.6090645
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2011-08-30
Publisher Place	USA
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Surgery Heart rate variability Pain Anesthesia Hypertension Indexes Tourniquet Analgesia/Nociception Index Arterial Hypertension
Content Type	Text
Resource Type	Article
Subject	Signal Processing Biomedical Engineering Health Informatics Computer Vision and Pattern Recognition

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