The Impact of Intraoperative Haemodynamic Monitoring, Prediction of Hypotension and Goal-Directed Therapy on the Outcomes of Patients Treated with Posterior Fusion Due to Adolescent Idiopathic Scoliosis

Autor:	Biernawska, Agata Andrzejewska, Jakub Miegoń, Sławomir Zacha, Karolina Skonieczna-Żydecka, Konrad Jarosz, Wojciech Zacha, Jowita
Jazyk:	angličtina
Rok vydání:	2023
Předmět:	adolescent idiopathic scoliosis haemodynamic monitoring hypotension prediction index ERAS (enhanced recovery after surgery)
Zdroj:	Journal of Clinical Medicine; Volume 12; Issue 14; Pages: 4571
ISSN:	2077-0383
DOI:	10.3390/jcm12144571
Popis:	A prospective, single-centre, non-randomised, case–control study aimed to evaluate the effectiveness of intraoperative haemodynamic monitoring, prediction of hypotension and goal-directed therapy on the outcomes of patients undergoing posterior fusion for adolescent idiopathic scoliosis (AIS). The control group (n = 35, mean age: 15 years) received standard blood pressure control during surgery, while the intervention group (n = 24, mean age: 14 years) underwent minimally invasive haemodynamic monitoring and goal-directed therapy. The intervention group showed significantly shorter durations of hypotension (mean arterial pressure < 60 mmHg), reduced hospital stays and smaller decreases in post-surgery haemoglobin levels. Additionally, the intervention group experienced shorter times from the end of surgery to extubation. These findings suggest that incorporating targeted interventions during intraoperative care for AIS patients undergoing posterior fusion can lead to improved outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=multidiscipl::28454c385e4f3dc9a09a7637b9889b68 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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