The relationship between the Trendelenburg position and cerebral hypoxia in patients who have undergone robot-assisted hysterectomy and prostatectomy

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dc.contributor.authorOzgun, Ali
dc.contributor.authorSargin, Asuman
dc.contributor.authorKaraman, Semra
dc.contributor.authorGunusen, Ilkben
dc.contributor.authorAlper, Isik
dc.contributor.authorAskar, Fatma Zekiye
dc.date.accessioned2019-10-27T11:11:58Z
dc.date.available2019-10-27T11:11:58Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground/aim: This study aimed to evaluate the relationship between the Trendelenburg position and cerebral hypoxia in robot-assisted hysterectomy and prostatectomy. Materials and methods: A standardized mini-mental state examination was administered to 50 patients enrolled in the study 1 h before and after surgery. Near infrared spectroscopy (NIRS) values and hemodynamic and respiratory parameters were recorded after induction of anesthesia (baseline) and once every 20 min in the Trendelenburg position and supine positions. The relationship between the development of cerebral desaturation and the patient's position was examined. Results: For all patients, the baseline mean cerebral oxygen saturation (RSO2) on the right and left were 70.5 +/- 7.3% and 70.6 +/- 6.7%, respectively. Right RSO2 values at 20 min and 60 min in the Trendelenburg position decreased significantly, but they increased at 120 min. A significant positive correlation was found between right RSO2 and EtCO2 in the supine period following surgery, and between left RSO2 and EtCO2 at 60 min in the Trendelenburg and supine positions. The relationship between NIRS values and cognitive dysfunction was not significant. Conclusion: We found that cerebral saturation decreases as age increases, and cerebral desaturation may occur owing to the Trendelenburg position. There was no correlation between patients' cognitive function and NIRS values.en_US
dc.identifier.doi10.3906/sag-1704-159en_US
dc.identifier.endpage1803en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue6en_US
dc.identifier.pmid29306241en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1797en_US
dc.identifier.urihttps://doi.org/10.3906/sag-1704-159
dc.identifier.urihttps://hdl.handle.net/11454/32538
dc.identifier.volume47en_US
dc.identifier.wosWOS:000418884300020en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTubitak Scientific & Technical Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopyen_US
dc.subjectnear infrared spectroscopyen_US
dc.subjectrobotic surgeryen_US
dc.subjectcerebral hypoxiaen_US
dc.subjectTrendelenburg positionen_US
dc.titleThe relationship between the Trendelenburg position and cerebral hypoxia in patients who have undergone robot-assisted hysterectomy and prostatectomyen_US
dc.typeArticleen_US

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