The 15° reverse Trendelenburg position can improve visualization without impacting cerebral oxygenation in endoscopic sinus surgery—A prospective, randomized study

医学 麻醉 充氧 外科
作者
Wenjing Yang,Guyan Wang,He Li,Yan Xing,Yaoyao Ren,Yue Wang,Haili Hu,Xiaoli Song,Ying Wan,Chengshuo Wang,Hongfei Lou,Qian Huang,Xiangdong Wang,Luo Zhang
出处
期刊:International Forum of Allergy & Rhinology [Wiley]
卷期号:11 (6): 993-1000 被引量:12
标识
DOI:10.1002/alr.22734
摘要

Background In this study we compared intraoperative bleeding and regional cerebral oxygenation in patients with different degrees of the reverse Trendelenburg position (RTP) during endoscopic sinus surgery (ESS). Methods In total, 120 patients with chronic rhinosinusitis treated by ESS were randomly assigned to the following 4 groups: a horizontal position (HP) group, and 5°, 10°, and 15° RTP (5‐RTP, 10‐RTP, and 15‐RTP, respectively) groups. The primary outcome was the Boezaart grading scale (BS). The cerebral oxygen saturation (ScO 2 ), total blood loss, numerical rating scale (NRS) scores, and complications were also recorded. Results The median BS values in the HP, 5‐RTP, 10‐RTP, and 15‐RTP groups were 2.0, 2.0, 2.1, and 1.7, respectively. Multiple pairwise comparisons of the BS showed significant differences between the 15‐RTP group and the other 3 groups (HP, 5‐RTP, and 10‐RTP). Regarding the NRS and bleeding rate, significant differences were found between the HP and 15‐RTP groups. No difference was found in ScO 2 among the 4 groups, and no cerebral desaturation events occurred in any group. No complications, including vital organ (heart, brain, and kidney) dysfunction problems, were reported in this study during hospitalization. Conclusion Compared with HP, 5‐RTP, and 10‐RTP, 15‐RTP can improve visual clarity during ESS, and ScO 2 is not affected by the degree of RTP. No cerebral deoxygenation or vital organ dysfunction was observed in this study. Therefore, we recommend 15‐RTP with moderate deliberate hypotension for ESS.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
anna发布了新的文献求助10
1秒前
CodeCraft应助Lu采纳,获得10
2秒前
2秒前
2秒前
Bressanone发布了新的文献求助10
3秒前
妙蛙完成签到,获得积分10
4秒前
5秒前
111111111发布了新的文献求助10
6秒前
妙蛙发布了新的文献求助10
8秒前
9秒前
爱笑紫菜发布了新的文献求助30
11秒前
11秒前
12秒前
李爱国应助111111111采纳,获得10
12秒前
tay发布了新的文献求助10
13秒前
科研通AI5应助ffff采纳,获得10
14秒前
过氧化氢发布了新的文献求助30
16秒前
感动黄豆发布了新的文献求助10
17秒前
钱宇成发布了新的文献求助10
17秒前
YJ888发布了新的文献求助10
17秒前
vincen91完成签到,获得积分10
21秒前
Leach完成签到 ,获得积分10
22秒前
长乐完成签到,获得积分10
23秒前
FashionBoy应助院士人启动采纳,获得10
27秒前
28秒前
28秒前
AptRank完成签到,获得积分10
29秒前
量子星尘发布了新的文献求助10
29秒前
焦糖布丁的滋味完成签到,获得积分10
29秒前
30秒前
隐形的觅波完成签到 ,获得积分10
31秒前
儒雅南风完成签到 ,获得积分10
32秒前
小马甲应助科研通管家采纳,获得10
33秒前
打打应助科研通管家采纳,获得10
33秒前
科研通AI5应助科研通管家采纳,获得10
33秒前
Orange应助科研通管家采纳,获得10
33秒前
Bio应助科研通管家采纳,获得30
33秒前
慕青应助科研通管家采纳,获得10
33秒前
33秒前
在水一方应助科研通管家采纳,获得10
33秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989115
求助须知:如何正确求助?哪些是违规求助? 3531367
关于积分的说明 11253688
捐赠科研通 3269986
什么是DOI,文献DOI怎么找? 1804868
邀请新用户注册赠送积分活动 882078
科研通“疑难数据库(出版商)”最低求助积分说明 809105