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

Aim:It is a known fact that the prone position has curative effects on respiratory parameters. To evaluate the effect of prone position on respiratory status in lumbar discectomy operations with spinal anesthesia using integrated pulmonary index (IPI), which is a novel tool that incorporates differe...

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Main Authors: Sule Batcik, Osman Ersegun Batcik
Format: Article
Language:English
Published: Galenos Yayinevi 2021-09-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access: http://www.hasekidergisi.com/archives/archive-detail/article-preview/the-effect-of-prone-position-on-the-ntegrated-pulm/48302
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author Sule Batcik
Osman Ersegun Batcik
author_facet Sule Batcik
Osman Ersegun Batcik
author_sort Sule Batcik
collection DOAJ
description Aim:It is a known fact that the prone position has curative effects on respiratory parameters. To evaluate the effect of prone position on respiratory status in lumbar discectomy operations with spinal anesthesia using integrated pulmonary index (IPI), which is a novel tool 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 of admission to the operating room, at ten minutes after spinal anesthesia administration, at ten minutes following prone positioning and ten 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. The mean oxygen saturation similarly increased at the end of the operation. There was a moderately significant correlation between the mean 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 increased oxygenation. IPI may be a valuable tool in clinical practice to monitor respiratory mechanics in the prone position in patients undergoing lumbar disc surgeries.
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spelling doaj.art-afa9192b3a634dd8bd35d100ff6294082023-02-15T16:13:17ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882021-09-0159431932310.4274/haseki.galenos.2021.728313049054The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal AnesthesiaSule Batcik0Osman Ersegun Batcik1 Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesia and Reanimation, Rize, Turkey Recep Tayyip Erdoğan University Faculty of Medicine, Department of Anesthesia and Reanimation, Rize, Turkey Aim:It is a known fact that the prone position has curative effects on respiratory parameters. To evaluate the effect of prone position on respiratory status in lumbar discectomy operations with spinal anesthesia using integrated pulmonary index (IPI), which is a novel tool 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 of admission to the operating room, at ten minutes after spinal anesthesia administration, at ten minutes following prone positioning and ten 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. The mean oxygen saturation similarly increased at the end of the operation. There was a moderately significant correlation between the mean 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 increased oxygenation. IPI may be a valuable tool in clinical practice to monitor respiratory mechanics in the prone position in patients undergoing lumbar disc surgeries. http://www.hasekidergisi.com/archives/archive-detail/article-preview/the-effect-of-prone-position-on-the-ntegrated-pulm/48302 prone positionintegrated pulmonary indexrespiratory mechanicsanesthesiaspinaldiskectomy
spellingShingle Sule Batcik
Osman Ersegun Batcik
The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia
Haseki Tıp Bülteni
prone position
integrated pulmonary index
respiratory mechanics
anesthesia
spinal
diskectomy
title The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia
title_full The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia
title_fullStr The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia
title_full_unstemmed The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia
title_short The Effect of Prone Position on the Integrated Pulmonary Index (IPI) Score in Lumbar Disc Surgeries Performed with Spinal Anesthesia
title_sort effect of prone position on the integrated pulmonary index ipi score in lumbar disc surgeries performed with spinal anesthesia
topic prone position
integrated pulmonary index
respiratory mechanics
anesthesia
spinal
diskectomy
url http://www.hasekidergisi.com/archives/archive-detail/article-preview/the-effect-of-prone-position-on-the-ntegrated-pulm/48302
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