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The effect of patient positions on perfusion index

BACKGROUND: The optimal position for surgery is one in which the patient is provided the best possible surgical intervention and put at minimum risk. Different surgical positions may cause changes in tissue perfusion. This study investigates the relationship between surgical patient positions and pe...

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Autores principales: Tapar, Hakan, Karaman, Serkan, Dogru, Serkan, Karaman, Tugba, Sahin, Aynur, Tapar, Gulsen Genc, Altiparmak, Fatih, Suren, Mustafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097320/
https://www.ncbi.nlm.nih.gov/pubmed/30115011
http://dx.doi.org/10.1186/s12871-018-0571-z
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author Tapar, Hakan
Karaman, Serkan
Dogru, Serkan
Karaman, Tugba
Sahin, Aynur
Tapar, Gulsen Genc
Altiparmak, Fatih
Suren, Mustafa
author_facet Tapar, Hakan
Karaman, Serkan
Dogru, Serkan
Karaman, Tugba
Sahin, Aynur
Tapar, Gulsen Genc
Altiparmak, Fatih
Suren, Mustafa
author_sort Tapar, Hakan
collection PubMed
description BACKGROUND: The optimal position for surgery is one in which the patient is provided the best possible surgical intervention and put at minimum risk. Different surgical positions may cause changes in tissue perfusion. This study investigates the relationship between surgical patient positions and perfusion index. METHODS: A sample of 61 healthy individuals with no peripheral circulatory disorders, chronic diseases, or anemia was included in this study. Participants held six different positions: supine, prone, 45-degree sitting-supine, 45-degree supine with legs lifted, Trendelenburg (45-degrees head down), and reverse Trendelenburg (45-degrees head up). Perfusion index values were then measured and recorded after individuals held their positions for five minutes. RESULTS: Participants’ perfusion index values were affected by different body positions (p < 0.05). Perfusion index was lowest in the sitting position (4.5 ± 2.5) and highest in individuals with Trendelenburg position (7.8 ± 3.8). CONCLUSION: Different body positions can cause changes in tissue perfusion. This should be considered in patient follow-up along with the perfusion index.
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spelling pubmed-60973202018-08-20 The effect of patient positions on perfusion index Tapar, Hakan Karaman, Serkan Dogru, Serkan Karaman, Tugba Sahin, Aynur Tapar, Gulsen Genc Altiparmak, Fatih Suren, Mustafa BMC Anesthesiol Research Article BACKGROUND: The optimal position for surgery is one in which the patient is provided the best possible surgical intervention and put at minimum risk. Different surgical positions may cause changes in tissue perfusion. This study investigates the relationship between surgical patient positions and perfusion index. METHODS: A sample of 61 healthy individuals with no peripheral circulatory disorders, chronic diseases, or anemia was included in this study. Participants held six different positions: supine, prone, 45-degree sitting-supine, 45-degree supine with legs lifted, Trendelenburg (45-degrees head down), and reverse Trendelenburg (45-degrees head up). Perfusion index values were then measured and recorded after individuals held their positions for five minutes. RESULTS: Participants’ perfusion index values were affected by different body positions (p < 0.05). Perfusion index was lowest in the sitting position (4.5 ± 2.5) and highest in individuals with Trendelenburg position (7.8 ± 3.8). CONCLUSION: Different body positions can cause changes in tissue perfusion. This should be considered in patient follow-up along with the perfusion index. BioMed Central 2018-08-17 /pmc/articles/PMC6097320/ /pubmed/30115011 http://dx.doi.org/10.1186/s12871-018-0571-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Tapar, Hakan
Karaman, Serkan
Dogru, Serkan
Karaman, Tugba
Sahin, Aynur
Tapar, Gulsen Genc
Altiparmak, Fatih
Suren, Mustafa
The effect of patient positions on perfusion index
title The effect of patient positions on perfusion index
title_full The effect of patient positions on perfusion index
title_fullStr The effect of patient positions on perfusion index
title_full_unstemmed The effect of patient positions on perfusion index
title_short The effect of patient positions on perfusion index
title_sort effect of patient positions on perfusion index
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097320/
https://www.ncbi.nlm.nih.gov/pubmed/30115011
http://dx.doi.org/10.1186/s12871-018-0571-z
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