Korean J Anesthesiol Search


Korean Journal of Anesthesiology 1998;35(4):710-715.
DOI: https://doi.org/10.4097/kjae.1998.35.4.710   
Hemodynamic Changes on Position Changes in Healthy Adult Measured by Bioimpedance.
Chang Yeon Kim, Ki Su Byun, Sung Sik Park, Jung Gil Hong
Department of Anesthesiology, College of Medicine, Kyungpook National University, Taegu, Korea.
INTRODUCTION: The purpose of positioning is to allow the procedure to be performed as simply as possible and to achieve the best possible results free of complications. In a normal person, many investigators have researched the hemodynamic changes during positional adjustments. But the delicate qualitative hemodynamic changes in various positions has not been recorded very much. So we studied the qualitative hemodynamic changes in various positions with a noninvasive bioimpedance method.
Healthy adult males were studied (n=25). The protocol was that the position changed from supine to head-up, head-down, lithotomy, sitting, right-lateral, prone and Jackknife (J-K) position. Each position was sustained for three minutes. The mean arterial pressure (MAP), heart rates (HR), left cardiac work index (LCWI), systemic vascular resistance index (SVRI), cardiac index (CI), stroke index (SI) and end diastolic index (EDI) were measured with the bioimpedance method and an automated blood pressure device.
The contractility of heart expressed by LCWI, CI and SI decreased in head-down, sitting, right-lateral, prone and J-K positions. The preload expressed by EDI decreased in right-lateral and J-K positions. The afterload expressed by SVRI increased in sitting, prone and J-K positions, and decreased in right-lateral position.
These results may be used as reference for anesthesiologist managing many patients of various physical status.
Key Words: Position, effect: cardiovascular; Equipment: bioimpedance; Monitoring: hemodynamics; Position: supine; head-up; head-down; lithotomy; sitting; right lateral; prone


Browse all articles >

Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next