دورية أكاديمية
Deep neuromuscular paralysis during hip arthroscopic surgery: influence on perineal tissue pressures and hip joint width.
| العنوان: | Deep neuromuscular paralysis during hip arthroscopic surgery: influence on perineal tissue pressures and hip joint width. |
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| المؤلفون: | Ledowski T; Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, 197 Wellington Street, Perth, WA 6000, Australia.; Medical School, University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia., Lim TS; Department of Orthopaedic Surgery, Joondalup Health Campus, Cnr Lakeside Drive & Shenton Avenue, Joondalup, WA 6027, Australia., Kotov A; Medical School, Christian-Albrechts-University, Ohlshausenstrasse 70-74, 24118 Kiel, Germany., Hontomin S; Department of Physiotherapy, Joondalup Health Campus, Cnr Lakeside Drive & Shenton Avenue, Joondalup, WA 6027, Australia.; Medical School, University of Notre Dame, 38/40 Henry Street, Fremantle WA 6160, Australia., Winfield F; Medical School, University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia., Heng YY; Department of Orthopaedic Surgery, Joondalup Health Campus, Cnr Lakeside Drive & Shenton Avenue, Joondalup, WA 6027, Australia., Sim HE; Department of Anaesthesia, Joondalup Health Campus, Cnr Lakeside Drive & Shenton Avenue, Joondalup, WA 6027, Australia. |
| المصدر: | Journal of hip preservation surgery [J Hip Preserv Surg] 2020 Dec 02; Vol. 7 (3), pp. 533-536. Date of Electronic Publication: 2020 Dec 02 (Print Publication: 2020). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101643347 Publication Model: eCollection Cited Medium: Print ISSN: 2054-8397 (Print) Linking ISSN: 20548397 NLM ISO Abbreviation: J Hip Preserv Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Oxford : Oxford University Press, [2014]- |
| مستخلص: | Pudendal nerve injuries are not an uncommon side effect of patient positioning on a traction table, and muscle relaxation has been suggested to mitigate this risk by reducing pressure on the perineum. A total of 40 patients scheduled for hip arthroscopic surgery under general anaesthesia were recruited. After induction of anaesthesia, pressures on the perineum were measured in 20 subjects by means of an ultra-thin pressure sensor mat wrapped around the perineal post. Perineal pressures were assessed after the induction of anaesthesia, after leg traction and after deep muscle relaxation. In 22 subjects, the hip joint width was measured radiographically at the same time points. Pressures on the perineum were high after traction (median maximum pressure 2540 g cm -2 ). Neuromuscular paralysis reduced perineal pressures only minimally, but significantly (-5 g cm -2 ; P = 0.007). Traction increased hip joint width significantly [mean 66 (12)%; P = 0.001) and muscle relaxation further increased joint width by a mean of 3.2 (0-20)% ( P = 0.001). Muscle relaxation was more beneficial for male patients (joint width increase 6.8% versus 2.8%; P = 0.04), as well as patients in whom traction alone did not achieve sufficient joint width. Muscle relaxation reduced the perineal pressure during hip arthroscopic surgery by only a negligible amount. With regard to joint space, relaxation may be of highest benefit in male patients and/or patients in whom traction alone produces only a relatively small increase in joint width (trial registration: ANZCTR 12617000191392). (© The Author(s) 2020. Published by Oxford University Press.) |
| References: | J Hip Preserv Surg. 2016 Nov 10;3(4):278-287. (PMID: 29632688) J Hip Preserv Surg. 2020 Feb 24;7(1):14-21. (PMID: 32382424) Muscle Nerve. 2001 Jan;24(1):116-9. (PMID: 11150974) Arch Orthop Trauma Surg. 2017 Jan;137(1):81-87. (PMID: 27695971) J Bone Joint Surg Am. 1992 Dec;74(10):1450-5. (PMID: 1469004) Prog Urol. 2002 Jun;12(3):504-9. (PMID: 12189768) Injury. 2001 Nov;32(9):689-91. (PMID: 11600114) Clin Orthop Relat Res. 1992 Mar;(276):272-6. (PMID: 1537166) Arthroscopy. 2014 Feb;30(2):202-7. (PMID: 24485113) J Hip Preserv Surg. 2017 Jan 04;4(1):54-59. (PMID: 28630721) Urology. 2005 Mar;65(3):559-63. (PMID: 15780376) |
| تواريخ الأحداث: | Date Created: 20210505 Latest Revision: 20210507 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8081426 |
| DOI: | 10.1093/jhps/hnaa049 |
| PMID: | 33948209 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2054-8397 |
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| DOI: | 10.1093/jhps/hnaa049 |