Effects of positive end-expiratory pressure on arthroscopic shoulder surgery under general anesthesia

Ersoy, Ayşın; Çakırgöz, Mensure Yılmaz; Ervatan, Zekeriya; Kıran, Özlem; Türkmen, Aygen; Esenyel, Cem Zeki

doi:10.3944/aott.2016.15.0213

Cited by 1 publication

(1 citation statement)

References 14 publications

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“…Moreover, the patients will have no spontaneous breathing and must be assisted by the mechanical ventilation of the anesthesia machine, which poses a risk for patients with acute and chronic respiratory diseases and cardiovascular diseases and is prone to causing intraoperative hypotension and postoperative breathing inhibition or hypoxemia (Miskovic and Lumb, 2017;Wang et al, 2019). Furthermore, a number of studies have demonstrated that a general anesthesia involving the beach-chair position is prone to causing local cerebral ischemia and hypoxia, which may lead to temporary or permanent neurological complications (Janssen et al, 2014;Ersoy et al, 2016;Ding et al, 2017). All these conclusions were confirmed in the present study.…”

Section: Time Pointmentioning

confidence: 99%

Application of Dexmedetomidine Sedation Combined With Suprascapular Nerve Block and Axillary Nerve Block in Shoulder Arthroscopy, A Randomized Single-Blind Study

Wang

Zhu

et al. 2021

Front. Pharmacol.

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Objective: The aim of the present study was to evaluate the anesthetic and analgesic effects of dexmedetomidine combined with suprascapular nerve block and axillary nerve block in shoulder arthroscopy.Methods: A total of 60 patients were randomly divided into the experimental group (DEX group) and the control group (GA group) via a random number table method. Dexmedetomidine sedation combined with suprascapular nerve block and axillary nerve block was used in the DEX group, while general anesthesia with tracheal intubation combined with interscalene brachial plexus block was used in the GA group. The perioperative indexes, intraoperative hemodynamics, cerebral oxygen saturation, and postoperative pain score, as well as any complications, were compared between the two groups.Results: The anesthesia duration (p < 0.05) and postoperative monitoring time (p < 0.05) in the DEX group were significantly shorter than those in the GA group. At most time points during the anesthesia, the cerebral oxygen saturation (p < 0.05) and mean arterial pressure (p < 0.05) in the DEX group were significantly higher than those in the GA group. Additionally, the decrease in the cerebral oxygen saturation and mean arterial pressure in the GA group was significantly higher than that in the DEX group (p < 0.05). The pain score of DEX group 12 h after operation significantly lower than that in the GA group (p < 0.05), and the incidence of postoperative hypoxemia along with nausea and vomiting in the GA group was significantly higher than that in the DEX group (p < 0.05).Conclusion: Dexmedetomidine combined with suprascapular nerve block and axillary nerve block could reduce the incidence of hypoxemia, while the approach demonstrated better hemodynamic stability, fully ensured the cerebral blood perfusion, and exhibited better anesthetic and analgesic effects, meaning it could be safely and effectively applied in shoulder arthroscopy procedures.

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Section: Time Pointmentioning

confidence: 99%

Application of Dexmedetomidine Sedation Combined With Suprascapular Nerve Block and Axillary Nerve Block in Shoulder Arthroscopy, A Randomized Single-Blind Study

Wang

Zhu

et al. 2021

Front. Pharmacol.

View full text Add to dashboard Cite

show abstract

Effects of positive end-expiratory pressure on arthroscopic shoulder surgery under general anesthesia

Abstract: Adding PEEP to the ventilation parameters of arthroscopic shoulder surgery in the beach-chair position reduces the amount of hemorrhage in the surgical field and thus increases surgical satisfaction without requiring the creation of controlled hypotension.

Cited by 1 publication

References 14 publications

Application of Dexmedetomidine Sedation Combined With Suprascapular Nerve Block and Axillary Nerve Block in Shoulder Arthroscopy, A Randomized Single-Blind Study

Application of Dexmedetomidine Sedation Combined With Suprascapular Nerve Block and Axillary Nerve Block in Shoulder Arthroscopy, A Randomized Single-Blind Study

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