| Haemodynamic effects of the lateral decubitus position and the kidney rest lateral decubitus position during anaesthesia. | |
MedLine Citation:
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PMID: 10895751 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We measured the haemodynamic effects of changing from the supine position to the lateral decubitus (lateral) position, and then to the kidney rest lateral decubitus (kidney) position in 12 patients undergoing nephrectomy under isoflurane anaesthesia. Eight control patients undergoing pulmonary surgery remained in the lateral position. The lateral position produced no significant changes. In the kidney position, however, significant reductions occurred in the mean arterial (P < 0.01), right atrial (P < 0.05) and pulmonary artery wedge pressures (P < 0.01). There were also significant reductions in cardiac index (from 3.04 (SD 0.21) to 2.44 (0.26) litre min-1 m-2, P < 0.01) and stroke volume index (from 40 (5) to 31 (5) ml beat-1 m-2, P < 0.01). The systemic vascular resistance index increased significantly (P < 0.05). Cardiac output was probably reduced by a decrease in venous return and an increase in systemic vascular resistance. |
Authors:
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M Yokoyama; W Ueda; M Hirakawa |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: British journal of anaesthesia Volume: 84 ISSN: 0007-0912 ISO Abbreviation: Br J Anaesth Publication Date: 2000 Jun |
Date Detail:
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Created Date: 2000-07-21 Completed Date: 2000-07-21 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 753-7 Citation Subset: IM |
Affiliation:
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Department of Anaesthesiology and Resuscitology, Okayama University Medical School, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthesia, Inhalation* Anesthetics, Inhalation Blood Pressure / physiology Cardiac Output / physiology Female Hemodynamics / physiology* Humans Isoflurane Male Middle Aged Nephrectomy Posture / physiology* Pulmonary Surgical Procedures Supine Position / physiology |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Inhalation; 26675-46-7/Isoflurane |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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