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170060

Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Deflation of the pneumatic tourniquet after orthopedic surgery is associated with multiple cardiovascular adverse effects [hypotension and tachycardia]. Trendelenburg position or passive leg raising [PLR] are commonly used as the initial treatment of shock and hypotension
Aim of the work: To compare between Trendelenburg position 20˚ and passive leg raising 45° regarding the incidence of post-tourniquet deflation cardiovascular adverse effects in patients undergoing unilateral knee arthroscopy.
Patients and methods: This prospective study included 98 cases that underwent unilateral knee arthroscopy. Patients were randomly allocated into two groups; group [1] included 49 cases who were exposed to the Trendelenburg position after deflation, and group [2] included the remaining cases who had the straight leg raising test after deflation. Mean arterial pressure, heart rate, and need for vasoactive substances were recorded.
Results: No significant difference was noticed between the two groups regarding demographic variables, heart rate before tourniquet deflation, and one-minute after its deflation. However, there was a significant difference between the same groups on the subsequent readings apart from the last one. Also, group [1] showed significantly higher mean arterial pressure [MAP] compared to group [2] after deflation. Hypotension was more significantly encountered in group [2], and thus ephedrine requirements were increased. 
Conclusion: Trendelenburg position appears to be more efficacious when compared to the straight leg raising, regarding the prevention of cardiovascular adverse effects associated with deflation.

DOI

10.21608/ijma.2021.62396.1262

Keywords

Trendelenburg Position, Straight leg raising test, Tourniquet deflation, Knee surgery, hypotension

Authors

First Name

Ahmed

Last Name

Sonbol

MiddleName

Mohammed

Affiliation

Department of Anesthesia and Intensive Care, Faculty of Medicine, Mansoura University, Egypt

Email

dr.sonbol@gmail.com

City

mansoura

Orcid

0000-0002-5976-6705

First Name

Sameh

Last Name

Ghareeb

MiddleName

-

Affiliation

Department of Anesthesia and Intensive Care, Faculty of Medicine, Mansoura University, Egypt

Email

sameh926@yahoo.com

City

Damietta

Orcid

-

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2021-02-09

Publish Date

2021-07-01

Page Start

1,500

Page End

1,506

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1500-1506.pdf

PDF . 2.3MB

Link

https://ijma.journals.ekb.eg/article_170060.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=170060

Order

2

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy

Details

Type

Article

Created At

22 Jan 2023