ダウンロード数: 473
このアイテムのファイル:
ファイル | 記述 | サイズ | フォーマット | |
---|---|---|---|---|
s00540-013-1634-4.pdf | 184.21 kB | Adobe PDF | 見る/開く |
タイトル: | Orthostatic intolerance during early mobilization following video-assisted thoracic surgery. |
著者: | Mizota, Toshiyuki https://orcid.org/0000-0003-2770-4262 (unconfirmed) Iwata, Yoshika Daijo, Hiroki Koyama, Tomohiro Tanaka, Tomoharu Fukuda, Kazuhiko |
著者名の別形: | 溝田, 敏幸 |
キーワード: | Orthostatic intolerance Video-assisted thoracic surgery Opioids Ambulation Analgesia |
発行日: | 14-May-2013 |
出版者: | Springer Japan |
誌名: | Journal of anesthesia |
巻: | 27 |
号: | 6 |
開始ページ: | 895 |
終了ページ: | 900 |
抄録: | [Purpose]Early postoperative mobilization is crucial for early ambulation to reduce postoperative pulmonary complications after lung resection. However, orthostatic intolerance (OI) may delay patient recovery, leading to complications. It is therefore important to understand the prevalence of and predisposing factors for OI following video-assisted thoracic surgery (VATS), which have not been established. This study evaluated the incidence of OI, impact of OI on delayed ambulation, and predisposing factors associated with OI in patients after VATS. [Methods]This retrospective cohort study consecutively analyzed data from 236 patients who underwent VATS. The primary outcome was defined as OI with symptoms associated with ambulatory challenge on postoperative day 1 (POD1), including dizziness, nausea and vomiting, feeling hot, blurred vision, or transient syncope. Multivariate logistic regression was performed to identify independent factors associated with OI. [Results]Of the 236 patients, 35.2 % (83) experienced OI; 45.8 % of these could not ambulate at POD1, compared with 15.7 % of patients without OI (P < 0.001). Factors independently associated with OI included advanced age [odds ratio 2.83 (1.46–5.58); P = 0.002], female gender [odds ratio 2.40 (1.31–4.46); P = 0.004], and postoperative opioid use [odds ratio 2.61 (1.23–5.77); P = 0.012]. Use of thoracic epidural anesthesia was not independently associated with OI [odds ratio 0.72 (0.38–1.37); P = 0.318]. [Conclusion]Postoperative OI was common in patients after VATS and significantly associated with delayed ambulation. Advanced age, female gender, and postoperative opioid use were identified as independent predisposing factors for OI. |
著作権等: | The final publication is available at Springer via http://dx.doi.org/10.1007/s00540-013-1634-4 この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 This is not the published version. Please cite only the published version. |
URI: | http://hdl.handle.net/2433/196866 |
DOI(出版社版): | 10.1007/s00540-013-1634-4 |
PubMed ID: | 23670803 |
出現コレクション: | 学術雑誌掲載論文等 |
このリポジトリに保管されているアイテムはすべて著作権により保護されています。