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Increase in Airway Pressure Resulting From Prone Position Patient Placing May Predict Intraoperative Surgical Blood Loss

DC Field Value Language
dc.contributor.author이종석-
dc.contributor.author장철호-
dc.contributor.author한동우-
dc.date.accessioned2014-12-18T08:56:53Z-
dc.date.available2014-12-18T08:56:53Z-
dc.date.issued2013-
dc.identifier.issn0362-2436-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/87248-
dc.description.abstractSTUDY DESIGN: Prospective study on intraoperative blood loss during lumbar spine surgery. OBJECTIVE: To evaluate the relationship between airway pressure change due to the patient's prone position and intraoperative blood loss during lumbar spine surgery. SUMMARY OF BACKGROUND DATA: A prone position may increase abdominal pressure. Changes in abdominal pressure may influence airway pressure and cause intraoperative blood loss as a result of epidural venous congestion. METHODS: Patients undergoing lumbar spine surgery were placed in a prone position after the administration of general anesthesia. Peak airway pressure, plateau pressure, mean blood pressure, and heart rate were measured 5 minutes after anesthesia induction and 15 minutes after being placed in a prone position. Intraoperative blood loss was measured at the end of surgery. RESULTS: Mean peak airway pressure was 13.7 ± 1.8 mm Hg while in a supine position and increased to 15.1 ± 2.5 mm Hg after placement in the prone position (P = 0.002). Plateau pressure was 12.6 ± 2.5 mm Hg while in a supine position and increased to 14.1 ± 1.9 mm Hg after placement in a prone position (P = 0.0002). Intraoperative blood loss was correlated with peak (R2 = 0.405) and plateau (R2 = 0.489) airway pressure changes. CONCLUSION: Increase in airway pressure resulting from placement into a prone position may predict intraoperative surgical blood loss.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfSPINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBlood Loss, Surgical/physiopathology*-
dc.subject.MESHBlood Pressure/physiology-
dc.subject.MESHEpidural Space/blood supply-
dc.subject.MESHFemale-
dc.subject.MESHHeart Rate/physiology-
dc.subject.MESHHumans-
dc.subject.MESHHyperemia/physiopathology-
dc.subject.MESHIntraoperative Period-
dc.subject.MESHLumbar Vertebrae/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOrthopedic Procedures*-
dc.subject.MESHProne Position/physiology-
dc.subject.MESHProspective Studies-
dc.subject.MESHRespiratory System/physiopathology*-
dc.subject.MESHRisk Assessment-
dc.subject.MESHRisk Factors-
dc.titleIncrease in Airway Pressure Resulting From Prone Position Patient Placing May Predict Intraoperative Surgical Blood Loss-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorJae Chul Koh-
dc.contributor.googleauthorJong Seok Lee-
dc.contributor.googleauthorDong Woo Han-
dc.contributor.googleauthorSatbyul Choi-
dc.contributor.googleauthorChul Ho Chang-
dc.identifier.doi10.1097/BRS.0b013e31828cb3e5-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03485-
dc.contributor.localIdA04274-
dc.contributor.localIdA03141-
dc.relation.journalcodeJ02674-
dc.identifier.eissn1528-1159-
dc.identifier.pmid23429680-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00007632-201305150-00020&LSLINK=80&D=ovft-
dc.subject.keywordintraoperative blood loss-
dc.subject.keywordlumbar spine surgery-
dc.subject.keywordpeak airway pressure-
dc.subject.keywordplateau pressure-
dc.subject.keywordprone position-
dc.contributor.alternativeNameLee, Jong Seok-
dc.contributor.alternativeNameChang, Chul Ho-
dc.contributor.alternativeNameHan, Dong Woo-
dc.contributor.affiliatedAuthorChang, Chul Ho-
dc.contributor.affiliatedAuthorHan, Dong Woo-
dc.contributor.affiliatedAuthorLee, Jong Seok-
dc.rights.accessRightsnot free-
dc.citation.volume38-
dc.citation.number11-
dc.citation.startPage678-
dc.citation.endPage682-
dc.identifier.bibliographicCitationSPINE, Vol.38(11) : 678-682, 2013-
dc.identifier.rimsid32924-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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