The intermittent sequential compression device on the lower extremities attenuates the decrease in regional cerebral oxygen saturation during sitting position under sevoflurane anesthesia

Journal of Neurosurgical Anesthesiology
Hyun Jeong KwakJi Young Kim

Abstract

The sitting position has potential for serious complications such as cerebral ischemia and venous air embolism. This study investigated the effects of intermittent sequential compression device (SCD) on the changes in regional cerebral oxygen saturation (rSO2) during the sitting position. Sixty-six healthy patients undergoing shoulder arthroscopy in sitting position were randomly assigned to either control (N = 33) or SCD (N = 33) groups. Hemodynamic variables and the rSO2 were measured 5 minutes after the induction of anesthesia (Tsupine, baseline values), and 1, 3, and 5 minutes after raising the patient to a 70-degree sitting position (T1, T3, and T5). The incidence of hypotension was recorded. The incidence of hypotension was significantly higher in the control group (8/33) than that in the SCD group (1/33) (P = 0.027, odds ratio 0.170, 95% CI 0.042-0.684). The rSO2 was significantly higher in the SCD group compared with those in the control group at T3 and T5. Within the group, rSO2 decreased significantly only in the control group compared with baseline value at T1, T3, and T5. The % change in rSO2 from T0 to T1, T3, and T5 were significantly lower in the SCD group compared to those in the control group. The application o...Continue Reading

References

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Citations

May 10, 2012·Annals of Intensive Care·Miklos LipcseyRinaldo Bellomo
Dec 18, 2013·Journal of Clinical Monitoring and Computing·Ji Young KimHyun Jeong Kwak
Sep 25, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·V SussetS Molliex
Sep 19, 2017·Disaster Medicine and Public Health Preparedness·Trevor Nt HallKobi Peleg
Apr 12, 2019·Anesthesia and Analgesia·Glenn S MurphyJoseph W Szokol
Jul 23, 2014·Current Opinion in Anaesthesiology·Isabel Gracia, Neus Fabregas
Feb 26, 2013·Journal of Neurosurgical Anesthesiology·Jeffrey J Pasternak, William L Lanier

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