The Effect of Compression Stockings on Cerebral Desaturation Events in Obese Patients Undergoing Shoulder Arthroscopy in the Beach-Chair Position.
Journal Article (Journal Article)
Purpose
To determine if the use of thigh-high compression stockings could decrease the incidence of cerebral desaturation events (CDEs) in patients with a body mass index (BMI) of 30 kg/m(2) or greater undergoing shoulder arthroscopy in the beach-chair position (BCP).Methods
Between December 2013 and May 2014, 23 patients aged 18 years or older with a BMI of 30 kg/m(2) or greater undergoing shoulder arthroscopy in the BCP were monitored intraoperatively using near-infrared spectroscopy while wearing thigh-high compression stockings. Data obtained on these patients were compared with data from a previous cohort at our institution comprising 24 patients with a BMI of 30 kg/m(2) or greater who underwent elective shoulder arthroscopy in the BCP with the same monitoring but without wearing compression stockings. The incidence of CDEs was identified in each group.Results
The incidence of CDEs in the group with compression stockings was 4% (1 of 23) compared with 18% (7 of 24) in the group without compression stockings (P = .048). There were no statistically significant differences in mean age (53.0 years v 53.3 years, P = .91), mean BMI (34.5 kg/m(2)v 36.2 kg/m(2), P = .21), or various medical comorbidities between the treatment group and control group. There was a significant difference in the operative time between the treatment group (156.6 minutes) and control group (94.1 minutes) (P < .001).Conclusions
The use of thigh-high compression stockings may decrease the incidence of CDEs in obese patients undergoing shoulder arthroscopy in the BCP.Level of evidence
Level IV, therapeutic case series.Full Text
Duke Authors
Cited Authors
- Tauchen, AJ; Salazar, D; Barton, GJ; Francois, A; Tonino, P; Garbis, NG; Evans, D
Published Date
- December 2015
Published In
Volume / Issue
- 31 / 12
Start / End Page
- 2352 - 2364
PubMed ID
- 26248495
Pubmed Central ID
- 26248495
Electronic International Standard Serial Number (EISSN)
- 1526-3231
International Standard Serial Number (ISSN)
- 0749-8063
Digital Object Identifier (DOI)
- 10.1016/j.arthro.2015.06.017
Language
- eng