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Hemodynamic Impact of the Trendelenburg Position: A Systematic Review and Meta-analysis.
J Cardiothorac Vasc Anesth
January 2025
Federal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia.
Objective: To systematically evaluate the impact of the Trendelenburg position on hemodynamic parameters in adult patients.
Design: Systematic literature review and meta-analysis using PubMed and Medline.
Setting: All prospective interventional studies comparing the hemodynamic characteristics of patients in the horizontal supine position and Trendelenburg position.
Trendelenburg gait after total hip arthroplasty due to reduced muscle contraction of the hip abductors and extensors.
J Orthop
January 2025
Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Article Synopsis
- Some patients who undergo total hip arthroplasty (THA) for hip osteoarthritis may still exhibit a Trendelenburg gait, which involves a specific pattern of muscle contractions during walking.
- The study analyzed 89 patients with a focus on hip muscle performance and pelvis movement to identify factors contributing to this gait, finding that 27% displayed the Trendelenburg gait.
- Key findings suggest that poor performance in hip abductor and extensor muscles during early to mid-stance phases of walking is linked to difficulty in stabilizing the hip, highlighting the importance of these muscle functions after surgery.
Association of Endothelial Cell Activation with Acute Kidney Injury during Coronary Angiography and the Influence of Recombinant Human C1 Inhibitor-A Secondary Analysis of a Randomized, Placebo-Controlled, Double-Blind Trial.
Biomedicines
August 2024
Division of Internal Medicine, University Hospital Basel, 4031 Basel, Switzerland.
Background: Acute kidney injury (AKI) as a result of iodinated contrast media (CM) has been linked to CM-induced renal ischemia and toxic effects on endothelial cells (EC). The recombinant human C1 inhibitor (rhC1INH) has been shown to influence EC activation.
Methods: Secondary analysis of 74/77 (96%) participants of a double-blind, randomized, and placebo-controlled study that assessed the effect of rhC1INH on AKI.
Effect of systemic lidocaine infusion on optic nerve sheath diameter during laparoscopic hysterectomy: a randomized controlled study.
Minerva Anestesiol
September 2024
Anesthesiology, Surgical Intensive Care and Pain Management Department, Faculty of Medicine, Helwan University, Helwan, Egypt.
Background: During laparoscopic hysterectomy (LH), the elevation of intra-abdominal and intra-thoracic pressures due to pneumoperitoneum (PP) results in an increase in intracranial pressure (ICP). The Trendelenburg position (TP) is an accentuating factor. This trial aimed to assess the effect of intravenous (IV) lidocaine infusion on optic nerve sheath diameter (ONSD), a widely accepted surrogate measure for ICP, during PP and TP.
View Article and Find Full Text PDFEfficacy of Real-Time Feedback Exercise Therapy in Patients Following Total Hip Arthroplasty: Protocol for a Pilot Cluster-Randomized Controlled Trial.
JMIR Res Protoc
August 2024
Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria.
Background: Osteoarthritis of the hip joint is an increasing functional and health-related problem. The most common surgical treatment is hip replacement to reduce pain and improve function. Rehabilitation after total hip arthroplasty (THA) is not regulated in Austria and mostly depends on the patient's own initiative and possibilities.
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