Intraocular pressure during lumbar disc surgery in the knee‐elbow position
Summary Increased intraocular pressure is often implicated in the aetiology of postoperative visual impairment. Such an increase in intraocular pressure has been demonstrated in the prone position. We investigated intraocular pressure in seven patients undergoing lumbar disc surgery in the knee‐elbo...
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| Veröffentlicht in: | Anaesthesia 2005-09, Vol.60 (9), p.878-881 |
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| creator | Tiefenthaler, W. Gabl, M. Teuchner, B. Benzer, A. |
| description | Summary
Increased intraocular pressure is often implicated in the aetiology of postoperative visual impairment. Such an increase in intraocular pressure has been demonstrated in the prone position. We investigated intraocular pressure in seven patients undergoing lumbar disc surgery in the knee‐elbow position with the head resting on a cushion and turned to the side. Measurements were performed in the supine position before induction of anaesthesia and in the knee‐elbow position after surgery with the patient still anaesthetised. After a mean (SD) duration of prone positioning of 121 (18) min, mean (SD) intraocular pressure in the nondependent eye was unchanged when compared to the awake state (17.7 (2.4) mmHg vs 18.9 (5.5) mmHg), whereas the intraocular pressure in the dependent eye had significantly decreased (17.0 (3.6) mmHg vs 8.1 (1.8) mmHg; p |
| doi_str_mv | 10.1111/j.1365-2044.2005.04290.x |
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Increased intraocular pressure is often implicated in the aetiology of postoperative visual impairment. Such an increase in intraocular pressure has been demonstrated in the prone position. We investigated intraocular pressure in seven patients undergoing lumbar disc surgery in the knee‐elbow position with the head resting on a cushion and turned to the side. Measurements were performed in the supine position before induction of anaesthesia and in the knee‐elbow position after surgery with the patient still anaesthetised. After a mean (SD) duration of prone positioning of 121 (18) min, mean (SD) intraocular pressure in the nondependent eye was unchanged when compared to the awake state (17.7 (2.4) mmHg vs 18.9 (5.5) mmHg), whereas the intraocular pressure in the dependent eye had significantly decreased (17.0 (3.6) mmHg vs 8.1 (1.8) mmHg; p < 0.01). These results may be important for choosing the optimal position for spinal surgery when an increase in intraocular pressure should be avoided.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/j.1365-2044.2005.04290.x</identifier><identifier>PMID: 16115249</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Aged ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Carbon Dioxide - blood ; Elbow ; Female ; Hemodynamics ; Humans ; Intervertebral Disc - surgery ; Intraocular Pressure ; Intraoperative Care - methods ; Intraoperative Period ; Knee ; Lumbar Vertebrae - surgery ; Male ; Medical sciences ; Middle Aged ; Partial Pressure ; Posture ; Spine ; Surgery</subject><ispartof>Anaesthesia, 2005-09, Vol.60 (9), p.878-881</ispartof><rights>2005 INIST-CNRS</rights><rights>2005 Blackwell Publishing Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4750-dd1f59f048e03c2ee4bc3d57a39d35af560692d13a950f4cd7d00b66790bf80a3</citedby><cites>FETCH-LOGICAL-c4750-dd1f59f048e03c2ee4bc3d57a39d35af560692d13a950f4cd7d00b66790bf80a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2044.2005.04290.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2044.2005.04290.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17021841$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16115249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tiefenthaler, W.</creatorcontrib><creatorcontrib>Gabl, M.</creatorcontrib><creatorcontrib>Teuchner, B.</creatorcontrib><creatorcontrib>Benzer, A.</creatorcontrib><title>Intraocular pressure during lumbar disc surgery in the knee‐elbow position</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary
Increased intraocular pressure is often implicated in the aetiology of postoperative visual impairment. Such an increase in intraocular pressure has been demonstrated in the prone position. We investigated intraocular pressure in seven patients undergoing lumbar disc surgery in the knee‐elbow position with the head resting on a cushion and turned to the side. Measurements were performed in the supine position before induction of anaesthesia and in the knee‐elbow position after surgery with the patient still anaesthetised. After a mean (SD) duration of prone positioning of 121 (18) min, mean (SD) intraocular pressure in the nondependent eye was unchanged when compared to the awake state (17.7 (2.4) mmHg vs 18.9 (5.5) mmHg), whereas the intraocular pressure in the dependent eye had significantly decreased (17.0 (3.6) mmHg vs 8.1 (1.8) mmHg; p < 0.01). These results may be important for choosing the optimal position for spinal surgery when an increase in intraocular pressure should be avoided.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Carbon Dioxide - blood</subject><subject>Elbow</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Intervertebral Disc - surgery</subject><subject>Intraocular Pressure</subject><subject>Intraoperative Care - methods</subject><subject>Intraoperative Period</subject><subject>Knee</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Partial Pressure</subject><subject>Posture</subject><subject>Spine</subject><subject>Surgery</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM9u1DAQhy1ERbeFV0AWEr0lHf9L7AvSqiptpRVc4Gw59qRkySaLvVG7Nx6BZ-RJ6rArKnFiLh6Nvxn99BFCGZQs1-W6ZKJSBQcpSw6gSpDcQPn4giz-frwkCwAQBZdgTslZSmsAxjXTr8gpqxhTXJoFWd0Nu-hGP_Uu0m3ElKaINEyxG-5pP22aPA5d8jTP7zHuaTfQ3Tek3wfE3z9_Yd-MD3Q7pm7XjcNrctK6PuGb43tOvn68_nJ1W6w-39xdLVeFl7WCIgTWKtOC1AjCc0TZeBFU7YQJQrlWVVAZHphwRkErfagDQFNVtYGm1eDEObk43N3G8ceEaWc3OSL2vRtwnJKttAKuBWTw3T_gepzikLNZZmpRCQ0sQ_oA-TimFLG129htXNxbBnbWbdd2tmpnq3bWbf_oto959e3x_tRsMDwvHv1m4P0RcMm7vo1u8F165mrgTMs5w4cD99D1uP_vAHb5aXk9t-IJh1ibnw</recordid><startdate>200509</startdate><enddate>200509</enddate><creator>Tiefenthaler, W.</creator><creator>Gabl, M.</creator><creator>Teuchner, B.</creator><creator>Benzer, A.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Blackwell Publishing Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200509</creationdate><title>Intraocular pressure during lumbar disc surgery in the knee‐elbow position</title><author>Tiefenthaler, W. ; Gabl, M. ; Teuchner, B. ; Benzer, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4750-dd1f59f048e03c2ee4bc3d57a39d35af560692d13a950f4cd7d00b66790bf80a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Carbon Dioxide - blood</topic><topic>Elbow</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Intervertebral Disc - surgery</topic><topic>Intraocular Pressure</topic><topic>Intraoperative Care - methods</topic><topic>Intraoperative Period</topic><topic>Knee</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Partial Pressure</topic><topic>Posture</topic><topic>Spine</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tiefenthaler, W.</creatorcontrib><creatorcontrib>Gabl, M.</creatorcontrib><creatorcontrib>Teuchner, B.</creatorcontrib><creatorcontrib>Benzer, A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tiefenthaler, W.</au><au>Gabl, M.</au><au>Teuchner, B.</au><au>Benzer, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraocular pressure during lumbar disc surgery in the knee‐elbow position</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2005-09</date><risdate>2005</risdate><volume>60</volume><issue>9</issue><spage>878</spage><epage>881</epage><pages>878-881</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><abstract>Summary
Increased intraocular pressure is often implicated in the aetiology of postoperative visual impairment. Such an increase in intraocular pressure has been demonstrated in the prone position. We investigated intraocular pressure in seven patients undergoing lumbar disc surgery in the knee‐elbow position with the head resting on a cushion and turned to the side. Measurements were performed in the supine position before induction of anaesthesia and in the knee‐elbow position after surgery with the patient still anaesthetised. After a mean (SD) duration of prone positioning of 121 (18) min, mean (SD) intraocular pressure in the nondependent eye was unchanged when compared to the awake state (17.7 (2.4) mmHg vs 18.9 (5.5) mmHg), whereas the intraocular pressure in the dependent eye had significantly decreased (17.0 (3.6) mmHg vs 8.1 (1.8) mmHg; p < 0.01). These results may be important for choosing the optimal position for spinal surgery when an increase in intraocular pressure should be avoided.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>16115249</pmid><doi>10.1111/j.1365-2044.2005.04290.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Carbon Dioxide - blood Elbow Female Hemodynamics Humans Intervertebral Disc - surgery Intraocular Pressure Intraoperative Care - methods Intraoperative Period Knee Lumbar Vertebrae - surgery Male Medical sciences Middle Aged Partial Pressure Posture Spine Surgery |
| title | Intraocular pressure during lumbar disc surgery in the knee‐elbow position |
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