The Effect of a Sequential Compression Device on Hemodynamics in Arthroscopic Shoulder Surgery Using Beach-Chair Position

Kwak, Hyun Jeong; Lee, Jong; Lee, Dong C.; Kim, Hong S.; Kim, Ji Y.

doi:10.1016/j.arthro.2009.10.001

Cited by 37 publications

(27 citation statements)

References 13 publications

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“…Baseline measurement of MAP, and ScO 2 on room air will define individual endpoints for blood pressure management. Pre-induction hydration, leg stockings and intermittent calf compression can minimise venous pooling [33]. Attention to drug dosage, limitation of airway pressure with positive pressure ventilation, avoidance of hyperventilation, and correct positioning with graduated elevation, are recommended.…”

Section: Clinical Recommendations For Upright Positioningmentioning

confidence: 99%

“…Compared to isoflurane, sevoflurane preserves the dynamic cerebral pressure autoregulation in humans [126]. Further measures, such as fluid loading and the use of lower limb compression devices, can reduce the incidence of hypotension [127].…”

Section: The Orthopedic Sitting Positionmentioning

confidence: 99%

“…Correct positioning, with elevation of the knees to heart level and use of compression stockings [32], can facilitate venous return. Sequential compression of lower limbs significantly reduces hypotension and can support the mean arterial pressure (MAP) and the stroke volume index [33]. Inflation of medical anti-shock trousers (MAST) is a strategy used to increase CVP and jugular venous bulb pressure to reduce the risk of venous air embolism [34].…”

Section: Posture and The Systemic Circulationmentioning

confidence: 99%

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Effects of Positioning on Cerebral Oxygenation

Soeding

2013

Curr Anesthesiol Rep

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Postural change during anesthesia has a complex effect on the systemic and cerebral circulations which can potentially decrease cerebral blood flow and oxygenation. Cerebral oximetry is emerging as a monitor of cerebral perfusion with widespread application in many types of surgery. The technology is based on the differential absorption of oxygenated and deoxygenated hemoglobin to near-infrared light. However, the dynamic coupling that exists between cerebral arterial, venous and cerebrospinal fluid volumes may influence oximetric readings during postural change. Interpretation of cerebral oxygen saturation measurement must account for these changes in cerebral physiology if monitoring is to predict neurological outcome.

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Section: Clinical Recommendations For Upright Positioningmentioning

confidence: 99%

Section: The Orthopedic Sitting Positionmentioning

confidence: 99%

Section: Posture and The Systemic Circulationmentioning

confidence: 99%

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Effects of Positioning on Cerebral Oxygenation

Soeding

2013

Curr Anesthesiol Rep

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“…Ancak bu çalışmada her iki grupta da solunum sıkıntısı görülmedi. Çeşitli çalışmalarda interskalen blok ve GA gruplarında vazopresörlerle tedavi gerektiren hipotansiyon komplikasyonlarına rastlanmaktadır (31)(32)(33). Bu çalışmada ise İSBPB grubunda 33 (%58,9) hastada, GA grubunda ise 21 (%50) hastada hipotansiyon gözlenmişti, ancak aralarında anlamlı fark bulunmamıştı.…”

Section: Discussionunclassified

The Effect of Ultrasound-Guided Interscalen Brachial Plexus Block Plus General Anesthesia for Postoperative Pain in Arthroscopıc Shoulder Surgery

Çiçekci¹,

Yıldırım²,

Önal³

et al. 2018

Acta Oncol Tur.

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“…In the future, we would like to see additional research describing more clearly the indications for one position versus the other. [10][11][12][13][14][15][16][17] Regarding anterior shoulder stabilization complications, Frank et al happily report low risk for either patient position. As usual, and as above, arthroscopic and related surgery has a low complication rate.…”

mentioning

confidence: 95%