Respiratory effects of the kneeling prone position for low back surgery

European Journal of Anaesthesiology

Volumn 21, Issue 4, 2004, Pages 279-283

  Radstrom, Michael ^a,b   Loswick, A C ^a   Bengtsson, J P ^a  

^a SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^b Norra Alvsborg Hospital   (Sweden)

Author keywords

Blood gas analysis, oximetry; Gases, carbon dioxide; Metabolism, oxygen consumption; Posture, prone position

Indexed keywords

ISOFLURANE;

ADULT; AGED; ARTICLE; BODY POSTURE; CENTRAL VENOUS PRESSURE; CLINICAL ARTICLE; FEMALE; HEART INDEX; HEART RATE; HUMAN; INHALATION ANESTHESIA; LUNG GAS EXCHANGE; LUNG VENTILATION; MALE; MEAN ARTERIAL PRESSURE; OXYGEN CONSUMPTION; PATIENT POSITIONING; SPINE SURGERY;

ADULT; AGED; ANESTHETICS, INHALATION; CARBON DIOXIDE; CARDIAC OUTPUT; FEMALE; HEART RATE; HUMANS; ISOFLURANE; MALE; MIDDLE AGED; OXYGEN; OXYGEN CONSUMPTION; POSTURE; PULMONARY ALVEOLI; PULMONARY GAS EXCHANGE; RESPIRATION; SPINAL CANAL; SPINE; TIDAL VOLUME;

EID: 1842814176     PISSN: 02650215     EISSN: None     Source Type: Journal    
DOI: 10.1017/S0265021504004053     Document Type: Article

References (19)

1. Ecker A. Kneeling position for operations on the lumbar spine. Especially for protruded intervertebral disc. Surgery 1949; 25: 112-113.
2. Böstman O, Hyrkäs J, Hirvensalo E, Kallio E. Blood loss, operating time, and positioning of the patient in lumbar disc surgery. Spine 1990; 15: 360-363.
3. Lumb AB, Nunn JF. Respiratory function and rib cage contribution to ventilation in body positions commonly used during anaesthesia. Anesth Analg 1991; 73: 422-426.
4. Jolliet P, Bulpa P, Chevrolet JC. Effects of the prone position on gas exchange and hemodynamics in severe acute respiratory distress syndrome. Crit Care Med 1998; 26: 1977-1985.
5. Flaaten H, Aardal S, Hevroy O. Improved oxygenation using the prone position in patients with ARDS. Acta Anaesthesiol Scand 1998; 42: 329-334.
6. Brazzi L, Ravagnan I, Pelosi P, Gattinoni L. Prone position in anaesthesia and intensive care. Care Crit Ill 1999; 15: 5-10.
7. Pelosi P, Croci M, Calappi E, et al. The prone positioning during general anesthesia minimally affects respiratory mechanics while improving functional residual capacity and increasing oxygen tension. Anesth Analg 1995; 80: 955-960.
8. Nyrén S, Mure M, Jacobsson H, Larsson SA, Lindahl SGE. Pulmonary perfusion is more uniform in prone than in supine position: scintigraphy in healthy humans. J Appl Physiol 1999; 86: 1135-1141.
9. Mure M, Lindahl SGE. Prone position improves gas exchange - but how? Acta Anaesthesiol Scand 2001; 45: 150-159.
10. Bengtsson JP, Bengtsson A, Stenqvist O. Uptake of enflurane and isoflurane during spontaneous and controlled ventilation. Anaesth Intens Care 1992; 20: 191-195.
11. Bengtsson JP, Bengtsson J, Bengtsson A, Stenqvist O. Sampled gas need not be returned during low flow anesthesia. J Clin Monitor 1993; 9: 330-334.
12. Nunn JF. Applied Respiratory Physiology, 4th edn. Oxford, UK: Butterworth-Heinemann, 1993: 128-129, 195-197.
13. Thomas SH. Impedance cardiography using the Sramek-Bernstein method: accuracy and variability at rest and during exercise. Br J Clin Pharmacol 1992; 34: 467-476.
14. Aukburg SJ, Geer RT, Wollman H, Neufeld GR. Errors in measurement of oxygen uptake due to anesthetic gases. Anesthesiology 1985; 62: 54-59.
15. 2 quantitatively reflect changes in cardiac output? Anesth Analg 1994; 79: 829-833.
16. 2 with acute changes in cardiac index. Can J Anesth 1996; 43: 243-245.
17. Mahajan RP, Hennessy N, Aitkenhead AR, Jellinek D. Effect of three different surgical prone positions on lung volumes in healthy volunteers. Anaesthesia 1994; 49: 583-586.
18. Numa AH, Hammer J, Newth CJ. Effect of prone and supine position on functional residual capacity, oxygenation, and respiratory mechanics in ventilated infants and children. Am J Respir Crit Care Med 1997; 156: 1185-1189.
19. Mutoh T, Guest RJ, Lamm WJE, Albert RK. Prone position alters the effect of volume overload on regional pleural pressures and improves hypoxemia in pigs in vivo. Am Rev Respir Dis 1992; 146: 300-306.