Prone Position Clinical Trial
Official title:
Comparison of Intraabdominal Pressure and Respiratory Parameter Changes According to Positional Apparatus in the Prone Position
Increased intra-abdominal pressure(IAP) might influence on perioperative morbidity related to
increased CVP, PVWP, SVR, PAP and decreased venous return and cardiac output. Prone position
has been known to increase IAP. In clinical field, various apparatuses has developed to
minimize IAP elevation during prone position operation.
In this study, we would compare the changes of IAP and respiratory system compliance
according to positional apparatus in prone position.
In clinical field, Wison frame, chest rolls and Jackson table have been widely used for prone position surgery. Among those apparatus, Jackson table has padded supports under the chest and pelvis, so that the abdomen can hang freely and prevent the abdominal compression. By reducing abdominal and thoracic pressure, Jackson table would reduce blood loss, and less effects on pulmonary mechanics. But few studies has known to compare IAP with other positioning apparatus such as Wilson frame or chest roll. ;
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