Table 2.
Circulatory and oxygenation parameters at baseline, following induction of anesthesia in either the sitting or reclining position, and during subsequent elevation to the sitting position in the patients in whom anesthesia was induced in the reclining position.
Position during induction | Baseline | Prior to induction (15 s) | After induction (minimum 0–4 min) | Inclination 30° (minimum 0–4 min) | Inclination 60° (minimum 0–4 min) | 15–30 min following induction | |
---|---|---|---|---|---|---|---|
ScO2 | Sitting | 72 ±, 7 (%) | +7 ±, 5* | +1 ±, 8* | −4 ±, 10 | ||
Reclining | 68 ±, 6 (%) | +12 ±, 4 | +7 ±, 6 | +3 ±, 15 | −5 ±, 12# | −1 ±, 10 | |
SmO2 | Sitting | 70 ±, 12 (%) | +2 ±, 7 | +11 ±, 6* (Max) | +8 ±, 5 | ||
Reclining | 76 ±, 8 (%) | +1 ±, 4 | +5 ±, 5 (Max) | +5 ±, 7 (Max) | +8 ±, 6# (Max) | +4 ±, 5 | |
MAP | Sitting | 104 ±, 10 (mmHg) | +3 ±, 8 | −45 ±, 15* | −37 ±, 11 | ||
Reclining | 102 ±, 17 (mmHg) | −2 ±, 13 | −35 ±, 12 | −35 ±, 17 | −36 ±, 12 | −31 ±, 11 | |
HR | Sitting | 73 ±, 16 (beats/min) | +11 ±, 20 | −21 ±, 11 | −12 ±, 15 | ||
Reclining | 71 ±, 16 (beats/min) | +6 ±, 14 | −18 ±, 11 | −27 ±, 7 # | −24 ±, 9# | −21 ±, 10 | |
SV | Sitting | 91 ±, 20 (ml) | 0 ±, 6 | −24 ±, 14 | −10 ±, 15 | ||
Reclining | 101 ±, 29 (ml) | 0 ±, 15 | −20 ±, 19 | −10 ±, 27 | −18 ±, 26 | −9 ±, 30 | |
CO | Sitting | 6.5 ±, 1.1 (l/min) | +12 ±, 17 | −36 ±, 16 | −23 ±, 11 | ||
Reclining | 6.9 ±, 1.7 (l/min) | +5 ±, 16 | −29 ±, 17 | −33 ±, 18 | −36 ±, 16 | −29 ±, 18 |
All values are mean ± SD. For both groups, absolute baseline values represent a 60 s average in the sitting position. Other values are percent changes compared to baseline; averages of the 15 s interval prior to induction, and the 15–30th min after induction. Between 0 and 4 min after the induction and inclination, values represent the minimum (SmO2: maximum) of 15 s averages.
Sitting vs. reclining; p < 0.05.
Different from the minimum value after induction; p < 0.05.