Yıl: 2021 Cilt: 59 Sayı: 4 Sayfa Aralığı: 319 - 323 Metin Dili: İngilizce DOI: 10.4274/haseki.galenos.2021.7283 İndeks Tarihi: 04-11-2021

The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia

Öz:
Aim: It is a known fact that the prone position has curative effects on respiratory parameters. To evaluate the effect of prone positionon respiratory status in lumbar discectomy operations with spinal anesthesia using integrated pulmonary index (IPI), which is a noveltool that incorporates different respiratory parameters.Methods: A total of 40 patients were enrolled in this prospective, observational study between December 2020 and February 2021.The IPI parameters included end-tidal carbon dioxide, respiratory rate, pulse rate and oxygen saturation recorded at the time ofadmission to the operating room, at ten minutes after spinal anesthesia administration, at ten minutes following prone positioning andten minutes after the end of the operation.Results: The mean end-tidal carbon dioxide value significantly increased after prone positioning and at the end of the operation. Themean oxygen saturation similarly increased at the end of the operation. There was a moderately significant correlation between themean IPI scores after prone positioning and ten minutes after the administration of spinal anesthesia.Conclusion: Prone position did not show any negative effect on respiratory mechanics as obtained from IPI, while it increasedoxygenation. IPI may be a valuable tool in clinical practice to monitor respiratory mechanics in the prone position in patients undergoinglumbar disc surgeries.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Al Qaraghli MI, De Jesus O. Lumbar Disc Herniation. In: StatPearls. Treasure Island (FL): StatPearls Publishing; April 2, 2021.
  • 2. Hareni N, Strömqvist F, Strömqvist B, Sigmundsson FG, Rosengren BE, Karlsson MK. Back pain is also improved by lumbar disc herniation surgery. Acta Orthop 2021;92:4-8.
  • 3. Sung TY, Jee YS, You HJ, Cho CK. Comparison of the effect of general and spinal anesthesia for elective cesarean section on maternal and fetal outcomes: a retrospective cohort study. Anesth Pain Med (Seoul) 2021;16:49-55.
  • 4. Walcott BP, Khanna A, Yanamadala V, Coumans JV, Peterfreund RA. Cost analysis of spinal and general anesthesia for the surgical treatment of lumbar spondylosis. J Clin Neurosci 2015;22:539-43.
  • 5. De Cassai A, Geraldini F, Boscolo A, et al. General Anesthesia Compared to Spinal Anesthesia for Patients Undergoing Lumbar Vertebral Surgery: A Meta-Analysis of Randomized Controlled Trials. J Clin Med 2020;10:102.
  • 6. Pierce JT, Kositratna G, Attiah MA, et al. Efficiency of spinal anesthesia versus general anesthesia for lumbar spinal surgery: a retrospective anaysis of 544 patients. Local Reg Anesth 2017;10:91-8.
  • 7. Chui J, Craen RA. An update on the prone position: Continuing Professional Development. Can J Anaesth 2016;63:737-67. 8. Stone JG, Khambatta HJ. Pulmonary shunts in the prone position. Anaesthesia 1978;33:512-7.
  • 9. Manna EM, Ibraheim OA, Samarkandi AH, Alotaibi WM, Elwatidy SM. The effect of prone position on respiratory mechanics during spinal surgery. Middle East J Anaesthesiol 2005;18:623-30.
  • 10. Turan G, Kuplay Y, Karip C, Koksal C, Akın C, Akgun N. Integrated Pulmonary Index: A New Strategy for Respiratory Patients Evaluation. Int J Anesthetic Anesthesiol 2016;3:042.
  • 11. Taccone P, Pesenti A, Latini R, et al. Prone positioning in patients with moderate and severe acute respiratory distress syndrome: a randomized controlled trial. JAMA 2009;302:1977-84.
  • 12. Pelosi P, Croci M, Calappi E, et al. Prone positioning improves pulmonary function in obese patients during general anesthesia. Anesth Analg 1996;83:578-83.
  • 13. Palmon SC, Kirsch JR, Depper JA, Toung TJ. The effect of the prone position on pulmonary mechanics is frame-dependent. Anesth Analg 1998;87:1175-80.
  • 14. Gropper M, Eriksson L, Fleisher L, Wiener-Kronish JP, Cohen N, Leslie K. Elsevier Health Sciences; 2014. Miller’s Anesthesia. 15. Tawhai MH, Nash MP, Lin CL, Hoffman EA. Supine and prone differences in regional lung density and pleural pressure gradients in the human lung with constant shape. J Appl Physiol (1985) 2009;107:912-20.
  • 16. Jozwiak M, Teboul JL, Anguel N, et al. Beneficial hemodynamic effects of prone positioning in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2013;188:1428- 33.
  • 17. Black JM, Hawks JH. Saunders/Elsevier; 2009. Medicalsurgical nursing: Clinical Management for Positive Outcomes, 8e without CD A st edition. 18. Yazdannik A, Gholami F, Zerraatkari K, Saghaei M. Effect of prone position on cardiac and pulmonary indices in patients under mechanical ventilation. IJNR 2006;1:15-21.
  • 19. Hwang JH, Kwon YS, Kang EH, et al. Prone positioning improves oxygenation without adverse hemodynamic effects during partial liquid ventilation in a canine model of acute lung injury. Korean J Intern Med 2004;19:237-42.
  • 20. Cheng MA, Todorov A, Tempelhoff R, McHugh T, Crowder CM, Lauryssen C. The effect of prone positioning on intraocular pressure in anesthetized patients. Anesthesiology 2001;95:1351-5.
  • 21. Yadav M, Reddy EP, Sharma A, Kulkarni DK, Gopinath R. The Effect of Position on PaCO2 and PETCO2 in Patients Undergoing Cervical Spine Surgery in Supine and Prone Position. J Neurosurg Anesthesiol 2017;29:298-303.
  • 22. Ariagno RL, van Liempt S, Mirmiran M. Fewer spontaneous arousals during prone sleep in preterm infants at 1 and 3 months corrected age. J Perinatol 2006;26:306-12.
  • 23. Antunes LC, Rugolo LM, Crocci AJ. Efeito da posição do prematuro no desmame da ventilação mecânica [Effect of preterm infant position on weaning from mechanical ventilation]. J Pediatr (Rio J) 2003;79:239-44.
  • 24. Levy J, Habib RH, Liptsen E, et al. Prone versus supine positioning in the well preterm infant: effects on work of breathing and breathing patterns. Pediatr Pulmonol 2006;41:754-8.
  • 25. Kumar V, Taft A, Johnson S, Herrington R, Castresana M. Integrated Pulmonary Index for Successful Weaning Obese Patients After Cardiac Bypass Surgery. Crit Care Med 2013;41pA90.
  • 26. Mermer D, Turan G, Koksal C, Tas B, Karadogan F, Akgun N. Correlation of integrated pulmonary index with clinical observation in unilateral and bilateral spinal anaesthesia in geriatric patients. Int J Res Med Sci 2016;4:4438-43.
APA BATCİK S, BATCİK O (2021). The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. , 319 - 323. 10.4274/haseki.galenos.2021.7283
Chicago BATCİK Sule,BATCİK Osman Ersegun The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. (2021): 319 - 323. 10.4274/haseki.galenos.2021.7283
MLA BATCİK Sule,BATCİK Osman Ersegun The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. , 2021, ss.319 - 323. 10.4274/haseki.galenos.2021.7283
AMA BATCİK S,BATCİK O The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. . 2021; 319 - 323. 10.4274/haseki.galenos.2021.7283
Vancouver BATCİK S,BATCİK O The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. . 2021; 319 - 323. 10.4274/haseki.galenos.2021.7283
IEEE BATCİK S,BATCİK O "The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia." , ss.319 - 323, 2021. 10.4274/haseki.galenos.2021.7283
ISNAD BATCİK, Sule - BATCİK, Osman Ersegun. "The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia". (2021), 319-323. https://doi.org/10.4274/haseki.galenos.2021.7283
APA BATCİK S, BATCİK O (2021). The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. Haseki Tıp Bülteni, 59(4), 319 - 323. 10.4274/haseki.galenos.2021.7283
Chicago BATCİK Sule,BATCİK Osman Ersegun The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. Haseki Tıp Bülteni 59, no.4 (2021): 319 - 323. 10.4274/haseki.galenos.2021.7283
MLA BATCİK Sule,BATCİK Osman Ersegun The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. Haseki Tıp Bülteni, vol.59, no.4, 2021, ss.319 - 323. 10.4274/haseki.galenos.2021.7283
AMA BATCİK S,BATCİK O The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. Haseki Tıp Bülteni. 2021; 59(4): 319 - 323. 10.4274/haseki.galenos.2021.7283
Vancouver BATCİK S,BATCİK O The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia. Haseki Tıp Bülteni. 2021; 59(4): 319 - 323. 10.4274/haseki.galenos.2021.7283
IEEE BATCİK S,BATCİK O "The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia." Haseki Tıp Bülteni, 59, ss.319 - 323, 2021. 10.4274/haseki.galenos.2021.7283
ISNAD BATCİK, Sule - BATCİK, Osman Ersegun. "The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia". Haseki Tıp Bülteni 59/4 (2021), 319-323. https://doi.org/10.4274/haseki.galenos.2021.7283