Pneumatic leg compression resulted in an increased area under the curve of systolic blood pressure in the first 20 min after induction, p = 0.001. In the pneumatic leg compression group, the lowest systolic, diastolic and mean blood pressures 20 min after induction of anaesthesia were significantly greater than the control group. The incidence of post-induction hypotension decreased in the pneumatic leg compression group compared with that in the control group 5 (10%) vs. Complications associated with pneumatic leg compression were recorded, including: peripheral neuropathy compartment syndrome extensive bullae beneath the leg sleeves and pulmonary thromboembolism. Haemodynamic variables and area under the curve of post-induction systolic blood pressure over time were assessed. Post-induction hypotension was defined as systolic blood pressure < 90 mmHg during the first 20 min after induction. The primary outcome was the incidence of post-induction hypotension in these groups. In the control group, pneumatic leg compression was initiated 20 min after anaesthesia induction. In the intervention group, pneumatic leg compression was initiated before induction of anaesthesia. In this double-blind randomised study, patients were allocated randomly to the pneumatic leg compression group (n = 50) or control (n = 50).
We hypothesised that pneumatic leg compression reduces post-induction hypotension in elderly patients undergoing robot-assisted laparoscopic prostatectomy. Post-induction hypotension is common and associated with postoperative complications.
0 kommentar(er)
