scholarly journals Cryoballoon ablation with left lateral decubitus position in atrial fibrillation patient where the left atrium was compressed by the vertebra

2017 ◽  
Vol 5 (8) ◽  
pp. 1381-1384
Author(s):  
Yosuke Nakatani ◽  
Yoshiaki Yamaguchi ◽  
Tamotsu Sakamoto ◽  
Koichiro Kinugawa
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrium ◽  
Atrial Fibrillation Patient ◽  
Lateral Decubitus Position ◽  
Cryoballoon Ablation ◽  
Left Lateral Decubitus Position ◽  
Lateral Decubitus

Surgical Techniques for Thoracoscopic Esophagectomy at the Left Lateral Decubitus Position

2019 ◽  
Vol 70 (2) ◽  
pp. 197-197
Author(s):  
H. Sato ◽  
Y. Miyawaki ◽  
N. Fujiwara ◽  
H. Sugita ◽  
M. Aikawa ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Lateral Decubitus Position ◽  
Thoracoscopic Esophagectomy ◽  
Left Lateral Decubitus Position ◽  
Lateral Decubitus

scholarly journals The Cardiac Sympathetic Nerve Activity in the Elderly Is Attenuated in the Right Lateral Decubitus Position

2017 ◽  
Vol 3 ◽  
pp. 233372141770807 ◽  
Author(s):  
Konosuke Sasaki ◽  
Mayu Haga ◽  
Sarina Bao ◽  
Haruka Sato ◽  
Yoshikatsu Saiki ◽  
...  
Keyword(s):  
Heart Rate ◽  
Sympathetic Nerve ◽  
Sympathetic Nerve Activity ◽  
Lateral Decubitus Position ◽  
The Other ◽  
Elderly Adults ◽  
Nerve Activity ◽  
Left Lateral Decubitus Position ◽  
Lateral Decubitus ◽  
The Right

Objectives: The aim of this study was to evaluate the effect of the supine, left lateral decubitus, and right lateral decubitus positions on autonomic nervous activity in elderly adults by using spectral analysis of heart rate variability (HRV). Method: Forty-five adults aged 73.6 ± 5.7 years were enrolled. After lying in the supine position, all participants moved to the lateral decubitus positions in a random order and maintained the positions for 10 min, while electrocardiographic data were recorded to measure HRV. Results: The lowest heart rate continued for 10 min when participants were in the left lateral decubitus position compared with the other two positions ( p < .001), while the HRV indexes remained unchanged. The low-frequency HRV to high-frequency HRV ratio (LF/HF) for the right lateral decubitus position was significantly lower than that for the other positions. Discussion: The right lateral decubitus position may attenuate sympathetic nerve activity in elderly adults.

scholarly journals Asymmetry of the bispectral index in lateral decubitus position during one-lung ventilation: A prospective-observational study

2019 ◽  
Author(s):  
Se Hee Kang ◽  
MiHye Park
Keyword(s):  
Bispectral Index ◽  
Prospective Observational Study ◽  
Lung Ventilation ◽  
Lateral Decubitus Position ◽  
One Lung Ventilation ◽  
Intraoperative Awareness ◽  
Non Invasive ◽  
Left Lateral Decubitus Position ◽  
Lateral Decubitus ◽  
Two Sides

Abstract Background Use of the bispectral index (BIS) reduces cases of intraoperative awareness and deep sedation. Although non-invasive, the BIS values are often misunderstood. This study evaluated the effects of BIS readings during intra-operative positioning and ventilation. Methods Forty-four patients undergoing esophageal cancer surgery were enrolled. BIS sensors were applied on right and left sides. A > 10% difference in BIS reading between the two sides was defined as ‘asymmetry.’ Results Intraoperative BIS asymmetry was observed in 14 (32.6%) patients in the supine position, but 43 (100%) patients in the left lateral decubitus position. The maximum differences between BIS values were observed 15 minutes after one-lung ventilation in the left lateral decubitus position (mean 6.8 ± 4.6, range [1-27]). Conclusion During one-lung ventilation in the lateral decubitus position, care should be taken when placing a BIS sensor and interpreting BIS values.

Positional Therapy: Left Lateral Decubitus Position Versus Right Lateral Decubitus Position

2014 ◽  
pp. 95-103
Author(s):  
Zhang Huankang ◽  
Huang Jingjing ◽  
Hou Xiaolin ◽  
J. Peter Van Maanen ◽  
Xiao Kuanlin
Keyword(s):  
Lateral Decubitus Position ◽  
Positional Therapy ◽  
Left Lateral Decubitus Position ◽  
Lateral Decubitus

RA04.01: PRONE POSITION IN THORACOSCOPIC ESOPHAGECTOMY IMPROVES POSTOPERATIVE OXYGENATION AND REDUCES PULMONARY COMPLICATIONS

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 24-25
Author(s):  
Yoshihiro Kakeji ◽  
Dai Otsubo ◽  
Gosuke Takiguchi ◽  
Taro Oshikiri ◽  
Tetsu Nakamura
Keyword(s):  
Pulmonary Function ◽  
Prone Position ◽  
Surgical Procedure ◽  
Body Position ◽  
Lateral Decubitus Position ◽  
Thoracoscopic Esophagectomy ◽  
Respiratory Complications ◽  
Left Lateral Decubitus Position ◽  
Lateral Decubitus ◽  
Position Group

Abstract Background While thoracoscopic esophagectomy is a widely performed surgical procedure, only few studies regarding the influence of body position on changes in circulation and breathing, after the surgery, have been reported. This study aimed at evaluating the effect of body position, during surgery, on the postoperative breathing functions of the chest. Methods A total of 266 patients who underwent right-sided transthoracic esophagectomy for esophageal cancer from 2004 to 2012 were included in this study. Fifty-four of them underwent open thoracotomies in the left lateral decubitus position (Group O), 108 underwent thoracoscopic esophagectomy in the left lateral decubitus position (Group L) and 104 patients were treated by thoracoscopic esophagectomy in the prone position (Group P). Two patients in Group P, who presented with intra-operative bleeding and underwent thoracotomy, were subsequently excluded from the pulmonary function analysis. Results Two patients in Group P had to be changed from the prone position to the lateral decubitus position and underwent thoracotomy in order to control intra-operative bleeding. Despite the significantly longer chest operation period in Group P, total blood loss was significantly lower in this group when compared to Groups O and L. Furthermore, patients in Group P presented with significantly lower water balance during the perioperative period and markedly higher SpO2/FiO2 ratio after the surgery. The incidence of respiratory complications was significantly higher in Group O when compared to the other two groups; however, no significant differences were observed between the Groups L and P. Conclusion From a surgical point of view, artificial pneumothorax and gravity improves the operative field view in the prone position without any compression of the right lung, thereby resulting in no mechanical damage to the lungs. Prone position esophagectomy is a useful surgical technique, which appears to preserve the postoperative pulmonary function. The patients are able to endure the surgical procedure and present with less respiratory complications. Disclosure All authors have declared no conflicts of interest.

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