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Prediction of hypotension after postural change in robot-assisted laparoscopic prostatectomy using esophageal Doppler monitoring: a prospective observational trial
- Source :
- Scientific Reports, Scientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Postural change from a steep Trendelenburg position to a supine position (T-off) during robot-assisted laparoscopic prostatectomy (RALP) induces a considerable abrupt decrease in the mean arterial pressure (MAP). We investigated the variables for predicting postural hypotension induced by T-off using esophageal Doppler monitoring (EDM). One hundred and twenty-five patients undergoing RALP were enrolled. Data on the MAP, heart rate, stroke volume index (SVI), cardiac index, peak velocity, corrected flow time, stroke volume variation, pulse pressure variation, arterial elastance (Ea), and dynamic arterial elastance were collected before T-off and at 1, 3, 5, 7, and 10 min after T-off using EDM. MAP P P P 2, and ≤ 1.08 mmHg/mL, respectively. If patients have MAP 2 or Ea ≤ 1.08 mmHg/mL before postural change from T-off during RALP, prompt management for ensuing hypotension should be considered.Trial registration: NCT03882697 (ClinicalTrial.gov, March 20, 2019).
- Subjects :
- Male
medicine.medical_specialty
Mean arterial pressure
Supine position
Science
medicine.medical_treatment
Trendelenburg position
Cardiac index
030204 cardiovascular system & hematology
Article
Patient Positioning
Head-Down Tilt
Hypotension, Orthostatic
03 medical and health sciences
Medical research
0302 clinical medicine
Robotic Surgical Procedures
030202 anesthesiology
Monitoring, Intraoperative
Internal medicine
Heart rate
Supine Position
medicine
Humans
Arterial Pressure
Prospective Studies
Aged
Prostatectomy
Multidisciplinary
business.industry
Stroke volume
Middle Aged
Prognosis
Echocardiography, Doppler
Confidence interval
Pulse pressure
Risk factors
Cardiology
Medicine
Female
Laparoscopy
business
Echocardiography, Transesophageal
Subjects
Details
- ISSN :
- 20452322
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Scientific Reports
- Accession number :
- edsair.doi.dedup.....e6ef077cc5523dd94760a8468bd9f216