Effects of Semi-Fowler Position on Cerebral Oxygenation During Thyroidectomy

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dc.contributor.authorYaman, Ferda
dc.contributor.authorPehlivanlı, Faruk
dc.contributor.authorAydın, Gülçin
dc.date.accessioned2025-01-21T16:17:20Z
dc.date.available2025-01-21T16:17:20Z
dc.date.issued2020
dc.departmentKırıkkale Üniversitesi
dc.description.abstractPatients are positioned with hyperextension of head and neck at Semi-Fowler state during general anaesthesia to facilitatethe surgical procedure. We aimed to determine the changes of serebral oxygenation in this position during thyroidectomy surgery.22 patients were recruited prospective observational study. Cerebral oxygenation were monitored, left and right cerebral regionaloxygen saturation were measured continuously. Heart rate, mean arterial pressure, end-tidal carbondioxide were measured andevaluated at baseline, after positioning at 15th, 30th, 90th minutes and after surgery at corrected position. After 90 minutes,significant decrease was seen cerebral oxygenization right side compared to the baseline (p ? 0.05). 30th minute cerebraloxygenization right value decreased significantly compared to the 15th minute. 30th minute, cerebral oxygenization left valuedecreased significantly compared to 15 minutes (p ? 0.05). 90th minute cerebral oxygenization left value decreased significantlycompared to the 30th minute (p < 0.05). Significant decrease in cerebral oxygen saturation in both cerebral sides had been shown inrelation to prolonged surgery time. Cerebral oxygenation was effected by the position given for thyroidectomy surgery. High-riskpatients can be detected by regional cerebral oxygen saturation and prevent cerebral ischemia. Precautions should be taken for highrisk patients.
dc.identifier.doi10.20515/otd.739333
dc.identifier.endpage651
dc.identifier.issn1305-4953
dc.identifier.issn2587-1579
dc.identifier.issue6
dc.identifier.startpage645
dc.identifier.trdizinid407352
dc.identifier.urihttps://doi.org/10.20515/otd.739333
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/407352
dc.identifier.urihttps://hdl.handle.net/20.500.12587/22618
dc.identifier.volume42
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofOsmangazi Tıp Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectGenel ve Dahili Tıp
dc.subjectSağlık Bilimleri ve Hizmetleri
dc.subjectCerrahi
dc.titleEffects of Semi-Fowler Position on Cerebral Oxygenation During Thyroidectomy
dc.typeArticle

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