Key result
Turning to the prone position significantly reduced cardiac index and cardiac output by 22% in patients with increased body mass index, whereas normal-weight patients experienced no significant hemodynamic changes.
Why the study?
Does turning to the prone position alter central hemodynamics in non-anaesthetized patients depending on body mass index?
Observational (n=40)
No
Does turning to the prone position alter central hemodynamics in non-anaesthetized patients depending on body mass index?
Absolute Event Rate: 1.9% vs 2.5%
p-value: p=<0.05
Turning to the prone position significantly reduces cardiac output and cardiac index in overweight and obese patients, but not in those with normal body weight.
May warrant caution with prone positioning in high-BMI patients; leaves open need for randomized confirmation of effects.
Background of study. Prone position is one of the most complex positions for anesthesiologist as it is accompanied by several physiological changes that can lead to specific complications. Hemodynamic changes are most controversial.Aim of study was to establish hemodynamic changes in non-anaesthetized patients in prone position depending on body mass index.Material and methods. We examined central hemodynamics in 40 patients the day before surgery using thoracic rheography in supine position, in prone position 5 min after turning and in prone position 20 min after turning. Patients were divided into 2 groups according to body mass index (18-25 and 26-35).Results. Patients with normal body weight did not have any hemodynamic changes after turning to prone position. Patients with increased body weight had higher cardiac index. After turning to prone position obese patients’ cardiac output and cardiac index reduced 22% comparing with supine position. After 20 min in prone position these hemodynamic parameters were found to be reduced to the same level.Conclusion. Significant hemodynamic changes after turning from supine to prone position were revealed only in patients with increased body mass index. In these patients cardiac index in prone position was reduced by 22% comparing to supine position
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Микола Віталійович Лизогуб (2015) conducted an observational in Degenerative-dystrophic diseases of the lumbar spine (n=40). Prone position vs. Supine position was evaluated on Cardiac index in patients with increased body mass index (L/min/m2) (p=<0.05). Turning to the prone position significantly reduced cardiac index and cardiac output by 22% in patients with increased body mass index, whereas normal-weight patients experienced no significant hemodynamic changes.
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