Comparison of Intra-Abdominal Pressure Among 3 Prone Positional Apparatuses After Changing From the Supine to the Prone Position and Applying Positive End-Expiratory Pressure in Healthy Euvolemic Patients: A Prospective Observational Study
DC Field | Value | Language |
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dc.contributor.author | Kim, Eugene | - |
dc.contributor.author | Kim, Hyun-Chang | - |
dc.contributor.author | Lim, Young-Jin | - |
dc.contributor.author | Kim, Chi-Heon | - |
dc.contributor.author | Sohn, Seil | - |
dc.contributor.author | Chung, Chun-Kee | - |
dc.contributor.author | Kim, Hyoung-Jun | - |
dc.contributor.author | Kang, Hyun | - |
dc.contributor.author | Park, Hee-Pyoung | - |
dc.date.available | 2019-03-08T09:38:48Z | - |
dc.date.issued | 2017-01 | - |
dc.identifier.issn | 0898-4921 | - |
dc.identifier.issn | 1537-1921 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/4943 | - |
dc.description.abstract | Background: Positional apparatuses used for the prone position can affect intra-abdominal pressure (IAP). In this study, we compared the IAP after changing to the prone position and applying various positive end-expiratory pressure (PEEP) levels among 3 prone positional apparatuses. Methods: A total of 108 healthy euvolemic patients undergoing elective prone spinal surgery were divided into 3 groups based on the positional apparatus used: the Jackson spinal table was used in group J (n=36), the Wilson frame in group W (n=36), and chest rolls in group C (n=36). The IAP was measured 2 minutes after application of 0, 3, 6, and 9 cm H2O of PEEP. Results: The IAP in the supine position was 6.4 +/- 3.0, 5.9 +/- 2.8, and 7.1 +/- 2.5mm Hg in groups J, C, and W, respectively. After the supine-to-prone positional change, the IAP in the prone position was significantly lower in group J than in groups C and W (2.7 +/- 2.9 vs. 8.9 +/- 4.0 and 12.9 +/- 4.3mm Hg, P<0.01). In the prone position, a PEEP of 9 cm H2O increased the IAP from baseline (zero PEEP) by 1.5 +/- 1.3, 1.6 +/- 1.3, and 1.7 +/- 1.0mm Hg in groups J, C, and W, respectively. Conclusions: The IAP in the prone position was significantly lower using the Jackson table compared with the Wilson frame and chest rolls. A PEEP up to 9 cm H2O can be safely used in healthy euvolemic patients undergoing prone spinal surgery without a clinically significant increase in IAP, irrespective of the type of prone positional apparatus. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.title | Comparison of Intra-Abdominal Pressure Among 3 Prone Positional Apparatuses After Changing From the Supine to the Prone Position and Applying Positive End-Expiratory Pressure in Healthy Euvolemic Patients: A Prospective Observational Study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1097/ANA.0000000000000257 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY, v.29, no.1, pp 14 - 20 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000391127400003 | - |
dc.identifier.scopusid | 2-s2.0-84947484151 | - |
dc.citation.endPage | 20 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 14 | - |
dc.citation.title | JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY | - |
dc.citation.volume | 29 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | intra-abdominal pressure | - |
dc.subject.keywordAuthor | prone position | - |
dc.subject.keywordAuthor | positive end-expiratory pressure | - |
dc.subject.keywordPlus | RESPIRATORY-DISTRESS-SYNDROME | - |
dc.subject.keywordPlus | CRITICALLY-ILL PATIENTS | - |
dc.subject.keywordPlus | ABDOMINAL PRESSURE | - |
dc.subject.keywordPlus | BLOOD-LOSS | - |
dc.subject.keywordPlus | PULMONARY MECHANICS | - |
dc.subject.keywordPlus | GENERAL-ANESTHESIA | - |
dc.subject.keywordPlus | SPINE SURGERY | - |
dc.subject.keywordPlus | LUMBAR SPINE | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | HYPERTENSION | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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