Matches in SemOpenAlex for { <https://semopenalex.org/work/W4281569270> ?p ?o ?g. }
Showing items 1 to 80 of
80
with 100 items per page.
- W4281569270 endingPage "11" @default.
- W4281569270 startingPage "7" @default.
- W4281569270 abstract "Up to 10% of patients undergoing breast surgery suffer from bleeding complications. Some experience severe hypotension and bradycardia of unclear etiology. Similar to the vasovagal hyperstimulation provoked by abdominal insufflation during laparoscopic surgery, we hypothesize that chest wall stretch from postoperative breast hematoma may mechanically stretch the vagus nerve, triggering dysautonomia disproportionate to the degree of blood loss.A single-institution retrospective review of patients requiring reoperation for hematoma evacuation following breast surgery between 2011 and 2021 was performed. The relationship between hematoma volume and hemodynamic instability, as well as hematoma volume and vasovagal symptoms, was measured.Sixteen patients were identified. Average hematoma volume was 353 mL, and average minimum mean arterial pressure was 64 mm Hg (range: 34-102 mm Hg). Fifty-six percent of patients reported symptoms including dizziness, somnolence, and/or syncope. Accounting for body surface area, patients with larger hematomas had similar minimum mean arterial pressures compared to those with smaller hematomas, 55 and 73 mm Hg, respectively (P = .0943). However, patients in the large hematoma group experienced over 3 times as many vasovagal symptoms, 88% and 25%, respectively (P = .0095).Patients with large hematomas reported significantly more vagal symptoms compared to those with small hematomas despite similar mean arterial pressures. In addition, the trend of lower mean arterial pressures and heart rates more closely resembles vagal hyperstimulation than hypovolemic shock. Early hematoma evacuation to relieve vagal nerve stretch and parasympatholytics to reverse dysautonomia are targeted interventions to consider in this patient population rather than fluids, vasopressors, and blood products that are used in cases of hemodynamic instability due to hypovolemia alone." @default.
- W4281569270 created "2022-05-27" @default.
- W4281569270 creator A5021560519 @default.
- W4281569270 creator A5029008817 @default.
- W4281569270 creator A5050194680 @default.
- W4281569270 creator A5077303380 @default.
- W4281569270 date "2022-10-01" @default.
- W4281569270 modified "2023-10-01" @default.
- W4281569270 title "Dysautonomia following breast surgery: Disproportionate response to postoperative hematoma" @default.
- W4281569270 cites W174656537 @default.
- W4281569270 cites W1983842489 @default.
- W4281569270 cites W1998870952 @default.
- W4281569270 cites W2000772044 @default.
- W4281569270 cites W2048150972 @default.
- W4281569270 cites W2048782177 @default.
- W4281569270 cites W2060345713 @default.
- W4281569270 cites W2080753463 @default.
- W4281569270 cites W2125041750 @default.
- W4281569270 cites W2164429537 @default.
- W4281569270 cites W2169328982 @default.
- W4281569270 cites W2589057880 @default.
- W4281569270 cites W2767068740 @default.
- W4281569270 cites W2896501255 @default.
- W4281569270 cites W2937436698 @default.
- W4281569270 cites W4240166404 @default.
- W4281569270 doi "https://doi.org/10.1016/j.sopen.2022.05.011" @default.
- W4281569270 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35789962" @default.
- W4281569270 hasPublicationYear "2022" @default.
- W4281569270 type Work @default.
- W4281569270 citedByCount "0" @default.
- W4281569270 crossrefType "journal-article" @default.
- W4281569270 hasAuthorship W4281569270A5021560519 @default.
- W4281569270 hasAuthorship W4281569270A5029008817 @default.
- W4281569270 hasAuthorship W4281569270A5050194680 @default.
- W4281569270 hasAuthorship W4281569270A5077303380 @default.
- W4281569270 hasBestOaLocation W42815692701 @default.
- W4281569270 hasConcept C126322002 @default.
- W4281569270 hasConcept C141071460 @default.
- W4281569270 hasConcept C2776452961 @default.
- W4281569270 hasConcept C2777953023 @default.
- W4281569270 hasConcept C2778618412 @default.
- W4281569270 hasConcept C2779662492 @default.
- W4281569270 hasConcept C2781312747 @default.
- W4281569270 hasConcept C42219234 @default.
- W4281569270 hasConcept C71924100 @default.
- W4281569270 hasConcept C83974742 @default.
- W4281569270 hasConcept C84393581 @default.
- W4281569270 hasConceptScore W4281569270C126322002 @default.
- W4281569270 hasConceptScore W4281569270C141071460 @default.
- W4281569270 hasConceptScore W4281569270C2776452961 @default.
- W4281569270 hasConceptScore W4281569270C2777953023 @default.
- W4281569270 hasConceptScore W4281569270C2778618412 @default.
- W4281569270 hasConceptScore W4281569270C2779662492 @default.
- W4281569270 hasConceptScore W4281569270C2781312747 @default.
- W4281569270 hasConceptScore W4281569270C42219234 @default.
- W4281569270 hasConceptScore W4281569270C71924100 @default.
- W4281569270 hasConceptScore W4281569270C83974742 @default.
- W4281569270 hasConceptScore W4281569270C84393581 @default.
- W4281569270 hasFunder F4320310423 @default.
- W4281569270 hasLocation W42815692701 @default.
- W4281569270 hasLocation W42815692702 @default.
- W4281569270 hasLocation W42815692703 @default.
- W4281569270 hasOpenAccess W4281569270 @default.
- W4281569270 hasPrimaryLocation W42815692701 @default.
- W4281569270 hasRelatedWork W1978191761 @default.
- W4281569270 hasRelatedWork W1979866482 @default.
- W4281569270 hasRelatedWork W2019555446 @default.
- W4281569270 hasRelatedWork W2046438897 @default.
- W4281569270 hasRelatedWork W2386110342 @default.
- W4281569270 hasRelatedWork W2413486660 @default.
- W4281569270 hasRelatedWork W2944935060 @default.
- W4281569270 hasRelatedWork W2947993168 @default.
- W4281569270 hasRelatedWork W4224311328 @default.
- W4281569270 hasRelatedWork W4375858676 @default.
- W4281569270 hasVolume "10" @default.
- W4281569270 isParatext "false" @default.
- W4281569270 isRetracted "false" @default.
- W4281569270 workType "article" @default.