Effects and influencing factors of trendelenburg position on intraocular pressure during robotic-assisted radical cystectomy
10.3761/j.issn.0254-1769.2017.09.004
- VernacularTitle:机器人辅助全膀胱切除术中患者头低足高位对眼压的影响
- Author:
le Yi HUANG
1
;
juan Wen HU
;
biao De WU
Author Information
1. 200127上海市,上海交通大学医学院附属仁济医院手术室
- Keywords:
Robotics;
Cystectomy;
Head-Down Tilt;
Intraocular Pressure;
Root Cause Analysis
- From:
Chinese Journal of Nursing
2017;52(9):1043-1046
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of trendelenburg position on intraocular pressure during robotic-assisted radical cystectomy and to analyze its influencing factors.Methods Forty-one patients scheduled for roboticassisted radical cystectomy were included.Perioperative IOP measurements were performed as follows:10 min after anesthesia induction with supine position(T1),10 min after maintaining trendelenburg position(T2),1 h,2 h and 3 h after maintaining Trendelenburg position (T3,T4,T5),10 min after supine position (T6),2 h after supine position(T7).Gender,age,BMI,duration and angle of trendelenburg position,and blood loss were recorded.Results Mean IOP after trendelenburg position was 24.88±2.61 mmHg,which was higher than normal.Mean IOP in Trendelenburg positioning were significantly higher than those at T1,T6,T7,and IOP increased with time.The influencing factors of IOP included duration and degree of Trendelenburg position,and blood loss.Conclusion IOP increased in patients undergoing robotic-assisted radical cystectomy in Trendelenburg position.
