Key result
Trendelenburg position during laparoscopy is linked to a ~0.8 mm increase in optic nerve diameter.
Why the study?
The importance of cardiac rehabilitation has increased due to the growing number of patients successfully treated for acute coronary syndromes, but its comprehensive role and benefits require emphasis.
Observational (n=69)
No
Absolute Event Rate: 6.6% vs 5.8%
p-value: p=<0.000001
Cardiac rehabilitation is a comprehensive approach that improves quality of life and reduces mortality and re-hospitalization in patients after acute coronary syndromes.
May signal transient ICP elevation in Trendelenburg laparoscopy; leaves open perioperative relevance for comorbid cardiac patients.
Cardiac rehabilitation is a comprehensive approach aimed at preventing heart disease, supporting treatment and improving the quality of life of patients and their functional abilities. Its goals include slowing the progression of cardiovascular diseases and reducing mortality associated with these diseases. Physiotherapy is a key element of cardiac rehabilitation, complemented by appropriate pharmacological treatment, psychotherapy, nutritional counseling, patient education about the cardiovascular system and lifestyle modifications tailored to individual needs. Cardiac rehabilitation in the prevention of the occurrence, in addition to other forms of treatment, has an additional impact on reducing mortality and morbidity of patients with sequelae, especially patients after myocardial infarction. The importance of cardiac rehabilitation has increased in recent years due to the increasing number of patients successfully treated for acute coronary syndromes. Rehabilitation in this group of patients helps to alleviate the immediate negative effects of myocardial infarction and reduces the risk of re-hospitalization. Combining pharmacotherapy with well-structured physical training and lifestyle changes improves the efficiency of the cardiovascular system, improves the quality of life and reduces the occurrence of adverse cardiovascular events. The importance and benefits of cardiac rehabilitation in patients after a heart attack have been known for many years. Physiotherapists play a significant role in these activities, their work is related to helping patients in taking preventive measures - both from risk groups and after cardiac incidents.The role of the physiotherapist is also to persuade the patient to change their lifestyle.
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Słomian et al. (2024) conducted an observational in Patients undergoing urologic operation in the Trendelenburg position (n=69). Trendelenburg position during laparoscopic urological surgery vs. Baseline (horizontal position before surgery) was evaluated on Optic nerve sheath diameter (ONSD) (p=<0.000001). The Trendelenburg position during laparoscopic urological surgery significantly increased the optic nerve sheath diameter from a preoperative average of 5.8 mm to a postoperative average of 6.6 mm in both eyes.
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