Detailed Information

Cited 17 time in webofscience Cited 23 time in scopus
Metadata Downloads

Prediction of hypotension in the beach chair position during shoulder arthroscopy using pre-operative hemodynamic variables

Full metadata record
DC Field Value Language
dc.contributor.authorJo, Youn Yi-
dc.contributor.authorJung, Wol Seon-
dc.contributor.authorKim, Hong Soon-
dc.contributor.authorChang, Young Jin-
dc.contributor.authorKwak, Hyun Jeong-
dc.date.available2020-02-28T17:45:38Z-
dc.date.created2020-02-06-
dc.date.issued2014-04-
dc.identifier.issn1387-1307-
dc.identifier.urihttps://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/12734-
dc.description.abstractSince hypotension in beach chair position (BCP) can lead to catastrophic neurologic complications, the prediction of hypotension is a matter of concern in the BCP under general anesthesia. We investigated whether pre-induction values of mean arterial pressure (MAP), stroke volume variation (SVV), cardiac index (CI), and stroke volume index (SVI) can predict hypotension in BCP during general anesthesia. Forty healthy adult patients, aged 18-65 years, undergoing elective arthroscopic shoulder surgery, were enrolled. At 5 min after anesthesia induction, patients were placed in the 70A degrees upright position. Receiver operating characteristic (ROC) curves were plotted for preoperative hemodynamic variables, including MAP, SVV, CI and SVI, and their abilities to predict hypotension were investigated. Fifteen patients developed hypotension after being moved from the supine to the BCP. The areas under the ROC curves for pre-induction values of MAP, CI, and SVI and post-induction value of SVV before a positional change were 0.556 (95 % CI 0.373-0.739; p = 0.557), 0.735 (0.576-0.894; p = 0.014), 0.787 (0.647-0.926; p = 0.003), and 0.691 (0.525-0.857; p = 0.046), respectively. In this study, pre-induction values of CI and SVI and post-induction value of SVV before a positional change predicted hypotension in the BCP under general anesthesia. Our findings suggest that not only preload but also preoperative cardiac performances might be the important factors for the development of hypotension after a repositioning supine to the sitting during general anesthesia.-
dc.language영어-
dc.language.isoen-
dc.publisherSPRINGER HEIDELBERG-
dc.relation.isPartOfJOURNAL OF CLINICAL MONITORING AND COMPUTING-
dc.subjectSTROKE VOLUME VARIATIONS-
dc.subjectFLUID RESPONSIVENESS-
dc.subjectSPINAL-ANESTHESIA-
dc.subjectBLOOD-VOLUME-
dc.subjectHEAD-UP-
dc.subjectSURGERY-
dc.subjectSEVOFLURANE-
dc.subjectUPRIGHT-
dc.subjectTILT-
dc.titlePrediction of hypotension in the beach chair position during shoulder arthroscopy using pre-operative hemodynamic variables-
dc.typeArticle-
dc.type.rimsART-
dc.description.journalClass1-
dc.identifier.wosid000332800200011-
dc.identifier.doi10.1007/s10877-013-9512-z-
dc.identifier.bibliographicCitationJOURNAL OF CLINICAL MONITORING AND COMPUTING, v.28, no.2, pp.173 - 178-
dc.identifier.scopusid2-s2.0-84897026629-
dc.citation.endPage178-
dc.citation.startPage173-
dc.citation.titleJOURNAL OF CLINICAL MONITORING AND COMPUTING-
dc.citation.volume28-
dc.citation.number2-
dc.contributor.affiliatedAuthorJo, Youn Yi-
dc.contributor.affiliatedAuthorJung, Wol Seon-
dc.contributor.affiliatedAuthorKim, Hong Soon-
dc.contributor.affiliatedAuthorChang, Young Jin-
dc.contributor.affiliatedAuthorKwak, Hyun Jeong-
dc.type.docTypeArticle-
dc.subject.keywordAuthorGeneral anesthesia-
dc.subject.keywordAuthorHypotension-
dc.subject.keywordAuthorArthroscopy-
dc.subject.keywordPlusSTROKE VOLUME VARIATIONS-
dc.subject.keywordPlusFLUID RESPONSIVENESS-
dc.subject.keywordPlusSPINAL-ANESTHESIA-
dc.subject.keywordPlusBLOOD-VOLUME-
dc.subject.keywordPlusHEAD-UP-
dc.subject.keywordPlusSURGERY-
dc.subject.keywordPlusSEVOFLURANE-
dc.subject.keywordPlusUPRIGHT-
dc.subject.keywordPlusTILT-
dc.relation.journalResearchAreaAnesthesiology-
dc.relation.journalWebOfScienceCategoryAnesthesiology-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
Files in This Item
There are no files associated with this item.
Appears in
Collections
의과대학 > 의학과 > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Jung, Wol Seon photo

Jung, Wol Seon
College of Medicine (Department of Medicine)
Read more

Altmetrics

Total Views & Downloads

BROWSE