Cited 2 times in
Effects of long periods of pneumoperitoneum combined with the head-up position on heart rate-corrected QT interval during robotic gastrectomy: an observational study
DC Field | Value | Language |
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dc.contributor.author | 김나영 | - |
dc.contributor.author | 김현주 | - |
dc.contributor.author | 김형일 | - |
dc.contributor.author | 배선준 | - |
dc.contributor.author | 남훈재 | - |
dc.date.accessioned | 2018-09-28T08:57:29Z | - |
dc.date.available | 2018-09-28T08:57:29Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 0300-0605 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/163272 | - |
dc.description.abstract | Objective Pneumoperitoneum and the head-up position reportedly stimulate the sympathetic nervous system, potentially increasing the risk of cardiac arrhythmia. We evaluated the effects of a long duration of pneumoperitoneum in the head-up position on the heart rate-corrected QT (QTc) interval during robotic gastrectomy. Methods This prospective observational study involved 28 patients undergoing robotic gastrectomy. The QTc interval was recorded at the following time points: before anaesthetic induction (baseline); 10 minutes after tracheal intubation; 1, 5, 30, 60, and 90 minutes after pneumoperitoneum induction in the head-up position; after pneumoperitoneum desufflation in the supine position; and at the end of surgery. The primary outcome was the QTc interval, which was measured 90 minutes after pneumoperitoneum combined with the head-up position. Results Compared with baseline, the QTc interval was significantly prolonged at 1 and 60 minutes after pneumoperitoneum, peaked at 90 minutes, and was sustained and notably prolonged until the end of surgery. However, no considerable haemodynamic changes developed. Conclusion A long period of carbon dioxide pneumoperitoneum application in a head-up position significantly prolonged the QTc interval during robotic gastrectomy. Therefore, diligent care and close monitoring are required for patients who are susceptible to developing ventricular arrhythmia. TRIAL REGISTRATION: Registered at ClinicalTrials.gov; https://clinicaltrials.gov/ct2/show/NCT02604979 ; Registration number NCT02604979. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Sage Publications | - |
dc.relation.isPartOf | JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Effects of long periods of pneumoperitoneum combined with the head-up position on heart rate-corrected QT interval during robotic gastrectomy: an observational study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine | - |
dc.contributor.googleauthor | Na Young Kim | - |
dc.contributor.googleauthor | Sun-Joon Bai | - |
dc.contributor.googleauthor | Hyoung-Il Kim | - |
dc.contributor.googleauthor | Jung Hwa Hong | - |
dc.contributor.googleauthor | Hoon Jae Nam | - |
dc.contributor.googleauthor | Jae Chul Koh | - |
dc.contributor.googleauthor | Hyun Joo Kim | - |
dc.identifier.doi | 10.1177/0300060518786914 | - |
dc.contributor.localId | A00348 | - |
dc.contributor.localId | A01135 | - |
dc.contributor.localId | A01154 | - |
dc.contributor.localId | A01795 | - |
dc.relation.journalcode | J01462 | - |
dc.identifier.eissn | 1473-2300 | - |
dc.identifier.pmid | 30027782 | - |
dc.identifier.url | http://journals.sagepub.com/doi/abs/10.1177/0300060518786914 | - |
dc.subject.keyword | Carbon dioxide pneumoperitoneum | - |
dc.subject.keyword | QTc interval | - |
dc.subject.keyword | anaesthesia | - |
dc.subject.keyword | cardiac arrhythmia | - |
dc.subject.keyword | head-up position | - |
dc.subject.keyword | robotic gastrectomy | - |
dc.contributor.alternativeName | Kim, Na Young | - |
dc.contributor.alternativeName | Kim, Hyun Zu | - |
dc.contributor.alternativeName | Kim, Hyoung Il | - |
dc.contributor.alternativeName | Bai, Sun Joon | - |
dc.contributor.affiliatedAuthor | Kim, Na Young | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Joo | - |
dc.contributor.affiliatedAuthor | Kim, Hyoung Il | - |
dc.contributor.affiliatedAuthor | Bai, Sun Joon | - |
dc.citation.volume | 46 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 4586 | - |
dc.citation.endPage | 4595 | - |
dc.identifier.bibliographicCitation | JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, Vol.46(11) : 4586-4595, 2018 | - |
dc.identifier.rimsid | 58537 | - |
dc.type.rims | ART | - |
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