Intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia.
<h4>Purpose</h4>Diabetic patients often have systemic circulation diseases which may cause serious systemic complications during ophthalmic surgeries with local anesthesia. The purpose of this study is to evaluate the intraoperative alteration of the vital signs in diabetic patients duri...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0265135 |
| _version_ | 1818250749218390016 |
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| author | Yuka Kojima Norihiko Misawa Tatsunori Yamamoto Shigeru Honda |
| author_facet | Yuka Kojima Norihiko Misawa Tatsunori Yamamoto Shigeru Honda |
| author_sort | Yuka Kojima |
| collection | DOAJ |
| description | <h4>Purpose</h4>Diabetic patients often have systemic circulation diseases which may cause serious systemic complications during ophthalmic surgeries with local anesthesia. The purpose of this study is to evaluate the intraoperative alteration of the vital signs in diabetic patients during cataract surgery with local anesthesia.<h4>Methods</h4>Clinical records of 428 patients who underwent cataract surgeries with local anesthesia were reviewed. The parameters measured were systolic/diastolic blood pressures and pulse rates at pre-operation, 5, 10 and 15 minutes during the surgeries. The factors were compared between non-diabetic patients (n = 325) and diabetic patients (n = 103).<h4>Results</h4>Diabetic patients had significantly higher fasting blood sugar and preoperative pulse rate. Diabetic patients showed significantly higher systolic blood pressure compared to non-diabetic patients at 5 and 10 minutes from the beginning of surgery (p = 0.0093 and 0.0075, respectively). In the non-diabetic patients, the pulse rate was significantly decreased at 5 minutes from the beginning of surgery (p = 4.74 x 10-8) which was maintained during the surgery, but no change was observed in the pulse rate of the diabetic patients.<h4>Conclusions</h4>Diabetic patients showed higher systolic blood pressure and pulse rate during cataract surgeries with local anesthesia, which should be monitored carefully by the physicians to avoid possible systemic complications. |
| first_indexed | 2024-12-12T15:57:20Z |
| format | Article |
| id | doaj.art-b38066857e0245d88f5953ec318fa369 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-12T15:57:20Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-b38066857e0245d88f5953ec318fa3692022-12-22T00:19:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173e026513510.1371/journal.pone.0265135Intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia.Yuka KojimaNorihiko MisawaTatsunori YamamotoShigeru Honda<h4>Purpose</h4>Diabetic patients often have systemic circulation diseases which may cause serious systemic complications during ophthalmic surgeries with local anesthesia. The purpose of this study is to evaluate the intraoperative alteration of the vital signs in diabetic patients during cataract surgery with local anesthesia.<h4>Methods</h4>Clinical records of 428 patients who underwent cataract surgeries with local anesthesia were reviewed. The parameters measured were systolic/diastolic blood pressures and pulse rates at pre-operation, 5, 10 and 15 minutes during the surgeries. The factors were compared between non-diabetic patients (n = 325) and diabetic patients (n = 103).<h4>Results</h4>Diabetic patients had significantly higher fasting blood sugar and preoperative pulse rate. Diabetic patients showed significantly higher systolic blood pressure compared to non-diabetic patients at 5 and 10 minutes from the beginning of surgery (p = 0.0093 and 0.0075, respectively). In the non-diabetic patients, the pulse rate was significantly decreased at 5 minutes from the beginning of surgery (p = 4.74 x 10-8) which was maintained during the surgery, but no change was observed in the pulse rate of the diabetic patients.<h4>Conclusions</h4>Diabetic patients showed higher systolic blood pressure and pulse rate during cataract surgeries with local anesthesia, which should be monitored carefully by the physicians to avoid possible systemic complications.https://doi.org/10.1371/journal.pone.0265135 |
| spellingShingle | Yuka Kojima Norihiko Misawa Tatsunori Yamamoto Shigeru Honda Intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia. PLoS ONE |
| title | Intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia. |
| title_full | Intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia. |
| title_fullStr | Intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia. |
| title_full_unstemmed | Intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia. |
| title_short | Intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia. |
| title_sort | intraoperative alteration in the vital signs of diabetic patients during cataract surgery with local anesthesia |
| url | https://doi.org/10.1371/journal.pone.0265135 |
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