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Scientific paper - Original scientific paper
Does the Anesthesia Technique Affect Arterial Pressure and Regional Cerebral Oxygen Saturation During Shoulder Arthroscopy in the Beach Chair Position?
Acta clinica Croatica, 57 (2018), 3; 473-479. https://doi.org/10.20471/acc.2018.57.03.10
Haršanji Drenjančević, Ivana; Drenjančević, Domagoj; Davidović-Cvetko, Erna; Drenjančević, Ines; Gulam, Danijela; Kvolik, Slavica

Institutional repository: Repository UHC Osijek

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Haršanji Drenjančević, I., Drenjančević, D., Davidović Cvetko, E., Drenjančević, I., Gulam, D. & Kvolik, S. (2018). Does the Anesthesia Technique Affect Arterial Pressure and Regional Cerebral Oxygen Saturation During Shoulder Arthroscopy in the Beach Chair Position?. Acta clinica Croatica, 57. (3), 473-479. doi: 10.20471/acc.2018.57.03.10

Haršanji Drenjančević, Ivana, et al. "Does the Anesthesia Technique Affect Arterial Pressure and Regional Cerebral Oxygen Saturation During Shoulder Arthroscopy in the Beach Chair Position?." Acta clinica Croatica, vol. 57, no. 3, 2018, pp. 473-479. https://doi.org/10.20471/acc.2018.57.03.10

Haršanji Drenjančević, Ivana, Domagoj Drenjančević, Erna Davidović Cvetko, Ines Drenjančević, Danijela Gulam and Slavica Kvolik. "Does the Anesthesia Technique Affect Arterial Pressure and Regional Cerebral Oxygen Saturation During Shoulder Arthroscopy in the Beach Chair Position?." Acta clinica Croatica 57, no. 3 (2018): 473-479. https://doi.org/10.20471/acc.2018.57.03.10

Haršanji Drenjančević, I., et al. (2018) 'Does the Anesthesia Technique Affect Arterial Pressure and Regional Cerebral Oxygen Saturation During Shoulder Arthroscopy in the Beach Chair Position?', Acta clinica Croatica, 57(3), pp. 473-479. doi: 10.20471/acc.2018.57.03.10

Haršanji Drenjančević I, Drenjančević D, Davidović Cvetko E, Drenjančević I, Gulam D, Kvolik S. Does the Anesthesia Technique Affect Arterial Pressure and Regional Cerebral Oxygen Saturation During Shoulder Arthroscopy in the Beach Chair Position?. Acta clinica Croatica [Internet]. 2018 [cited 2024 November 23];57(3):473-479. doi: 10.20471/acc.2018.57.03.10

I. Haršanji Drenjančević, D. Drenjančević, E. Davidović Cvetko, I. Drenjančević, D. Gulam and S. Kvolik, "Does the Anesthesia Technique Affect Arterial Pressure and Regional Cerebral Oxygen Saturation During Shoulder Arthroscopy in the Beach Chair Position?", Acta clinica Croatica, vol. 57, no. 3, pp. 473-479, 2018. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:239:672040. [Accessed: 23 November 2024]

Metadata
Title (english)Does the Anesthesia Technique Affect Arterial Pressure and Regional Cerebral Oxygen Saturation During Shoulder Arthroscopy in the Beach Chair Position?
Title (croatian)Utječe li anestezijska tehnika na arterijski tlak i regionalnu moždanu perfuziju tijekom artroskopije ramena u sjedećem položaju?
AuthorIvana Haršanji Drenjančević
MBZ: 363764
AuthorDomagoj Drenjančević
MBZ: 297300
AuthorErna Davidović-Cvetko
MBZ: 356676
AuthorInes Drenjančević
MBZ: 209603
AuthorDanijela Gulam
MBZ: 295491
AuthorSlavica Kvolik
MBZ: 259895
Author's institution(Clinical hospital center Osijek)
Author's institutionJosip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
(Department of Anesthesiology, Resuscitation, Intensive Care Medicine and Pain Management)
Author's institutionJosip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
(Department of Microbiology, Parasitology and Clinical Laboratory Diagnostics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
This study aimed to investigate the impact of posture and anesthesia techniques on blood pressure changes, heart rate and regional cerebral oxygen saturation during shoulder arthroscopy in the beach chair position (BCP). Sixty patients were included in this prospective cohort study: 30 patients mechanically ventilated and subjected to general anesthesia (GA) and 30 patients subjected to interscalene block (ISB) without mechanical ventilation. Noninvasive blood pressure, heart rate (HR), peripheral blood oxygen saturation and regional oxygen saturation of the brain were measured in twelve predefined points during perioperative period. The GA group patients had significantly lower mean arterial pressure and heart rate values compared to patients in ISB group during BCP (p<0.001). There was a significant difference in regional cerebral saturation between the groups measured only in points of induction and emergence from anesthesia in favor of GA group when receiving 100% oxygen (p<0.001). Changes in the mean arterial pressure and regional cerebral oxygen saturation for both brain hemispheres correlated only at the 10th minute after setting up BCP in GA patients (right, p=0.004 and left, p=0.003). This correlation did not exist in the ISB group patients at any of the points measured. Cerebral desaturation events recorded in both groups were not statistically significantly different. Results of this study demonstrated that GA preserved regional cerebral oxygenation in a safe range during BCP despite changes in the arterial blood pressure and heart rate in comparison to ISB.
Abstract (croatian)
Cilj ovoga istraživanja je bio ispitati povezanost postavljanja bolesnika u sjedeći položaj (engl. beach chair position, BCP) i vrste anestezijske tehnike s posljedičnim promjenama arterijskog tlaka i srčanih otkucaja, kao i njihovog utjecaja na regionalnu moždanu perfuziju tijekom artroskopije ramena. U studiju je bilo uključeno 60 bolesnika: prvu skupinu činilo je 30 bolesnika kod kojih je operacijski zahvat izveden u općoj anesteziji (OA) koji su bili mehanički ventilirani, a drugu skupinu 30 bolesnika kod kojih je operacijski zahvat izveden uz interskalenski blok (ISB) i spontano disanje. U 12 prethodno definiranih točaka tijekom perioperacijskog razdoblja mjerio se neinvazivno arterijski tlak, srčani otkucaji, periferna zasićenost kisikom i regionalna moždana zasićenost kisikom. Bolesnici u skupini OA imali su značajno niže vrijednosti srednjeg arterijskog tlaka i srčanih otkucaja u odnosu na bolesnike u skupini ISB tijekom BCP (p<0,001). Promjene srednjeg arterijskog tlaka i regionalne moždane zasićenosti kisikom za obje moždane hemisfere korelirale su samo u 10. minuti nakon postavljanja bolesnika u BCP kod skupine OA (desna p=0,004, lijeva p=0,003). Ova korelacija nije zabilježena kod bolesnika skupine ISB ni u jednoj od mjerenih točaka. Moždani desaturacijski događaji su zabilježeni u objema skupinama, ali nisu bili statistički značajni. Rezultati ovoga istraživanja ukazuju na to da je OA očuvala regionalnu moždanu zasićenost kisikom unutar sigurnog raspona u usporedbi sa skupinom ISB tijekom BCP, unatoč značajnim promjenama arterijskog tlaka i srčanih otkucaja.
Keywords (english)
Keywords (croatian)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 57, no. 3, pp. 473-479
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2018.57.03.10
URN:NBNurn:nbn:hr:239:672040
Publication2018
Document URLhttps://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=315410
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2020-01-31 07:51:34