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

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 wor...

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Autores principales:	Ahmed Sonbol, Sameh Ghareeb
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	trendelenburg position straight leg raising test tourniquet deflation knee surgery hypotension Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4c05f96c2246478683d7696a03f686b1
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spelling	oai:doaj.org-article:4c05f96c2246478683d7696a03f686b12021-12-02T16:35:04ZComparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy2636-41742682-378010.21608/ijma.2021.62396.1262https://doaj.org/article/4c05f96c2246478683d7696a03f686b12021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_170060_7cba3618c4b0d0bd8c6075af141bb214.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Ahmed SonbolSameh GhareebAl-Azhar University, Faculty of Medicine (Damietta)articletrendelenburg positionstraight leg raising testtourniquet deflationknee surgeryhypotensionMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1500-1506 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	trendelenburg position straight leg raising test tourniquet deflation knee surgery hypotension Medicine (General) R5-920
spellingShingle	trendelenburg position straight leg raising test tourniquet deflation knee surgery hypotension Medicine (General) R5-920 Ahmed Sonbol Sameh Ghareeb Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy
description	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.
format	article
author	Ahmed Sonbol Sameh Ghareeb
author_facet	Ahmed Sonbol Sameh Ghareeb
author_sort	Ahmed Sonbol
title	Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy
title_short	Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy
title_full	Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy
title_fullStr	Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy
title_full_unstemmed	Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy
title_sort	comparison between the effect of trendelenburg 20 degree and straight leg raising 45 degree positions on the hemodynamics after tourniquet deflation in knee arthroscopy
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/4c05f96c2246478683d7696a03f686b1
work_keys_str_mv	AT ahmedsonbol comparisonbetweentheeffectoftrendelenburg20degreeandstraightlegraising45degreepositionsonthehemodynamicsaftertourniquetdeflationinkneearthroscopy AT samehghareeb comparisonbetweentheeffectoftrendelenburg20degreeandstraightlegraising45degreepositionsonthehemodynamicsaftertourniquetdeflationinkneearthroscopy
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Comparison between the Effect of Trendelenburg 20 Degree and Straight Leg Raising 45 Degree Positions on The Hemodynamics After Tourniquet Deflation in Knee Arthroscopy

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