{"id":26390,"date":"2024-09-08T04:46:00","date_gmt":"2024-09-07T20:46:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=26390"},"modified":"2024-09-08T08:59:39","modified_gmt":"2024-09-08T00:59:39","slug":"jama-netw-open%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e9%ba%bb%e9%86%89%e6%81%a2%e5%a4%8d%e6%9c%9f%e9%97%b4%e5%8d%8a%e5%9d%90%e4%bd%8d%e4%b8%8e%e6%9c%af%e5%90%8e%e4%bd%8e%e6%b0%a7%e8%a1%80","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=26390","title":{"rendered":"[JAMA Netw Open\u53d1\u8868\u8bba\u6587]\uff1a\u9ebb\u9189\u6062\u590d\u671f\u95f4\u534a\u5750\u4f4d\u4e0e\u672f\u540e\u4f4e\u6c27\u8840\u75c7"},"content":{"rendered":"\n

Original Investigation <\/p>\n\n\n\n

Anesthesiology<\/p>\n\n\n\n

June 28, 2024<\/p>\n\n\n\n

Semirecumbent Positioning During Anesthesia Recovery and Postoperative Hypoxemia: A Randomized Clinical Trial<\/h1>\n\n\n\n

Xinghe Wang, Kedi Guo, Jia Sun, et al<\/h3>\n\n\n\n

JAMA Netw Open. <\/em>2024;7(6):e2416797. doi:10.1001\/jamanetworkopen.2024.16797<\/h3>\n\n\n\n

Key Points<\/p>\n\n\n\n

Question<\/strong>  Does semirecumbent positioning during recovery from anesthesia reduce the incidence of postoperative hypoxemia?<\/p>\n\n\n\n

Findings<\/strong>  In this randomized clinical trial that included 700 adults undergoing laparoscopic upper abdominal surgery, a 30\u00b0 semirecumbent position during recovery from anesthesia reduced the incidence of postoperative hypoxemia from 47% in a supine position to 32%.<\/p>\n\n\n\n

Meaning<\/strong>  These findings suggest that a 30\u00b0 semirecumbent position during recovery from anesthesia may help prevent the development of postoperative hypoxemia.<\/a><\/p>\n\n\n\n

Abstract<\/p>\n\n\n\n

Importance<\/strong>  The efficacy of a semirecumbent position (SRP) in reducing postoperative hypoxemia during anesthesia emergence is unclear despite its widespread use.<\/p>\n\n\n\n

Objective<\/strong>  To determine the differences in postoperative hypoxemia between patients in an SRP and a supine position.<\/p>\n\n\n\n

Design, Setting, and Participants<\/strong>  This randomized clinical trial was performed at a tertiary hospital in China between March 20, 2021, and May 10, 2022. Patients scheduled to undergo laparoscopic upper abdominal surgery under general anesthesia were enrolled. Study recruitment and follow-up are complete.<\/p>\n\n\n\n

Interventions<\/strong>  Patients were randomized to 1 of the following positions at the end of the operation until leaving the postanesthesia care unit: supine (group S), 15\u00b0 SRP (group F), or 30\u00b0 SRP (group T).<\/p>\n\n\n\n

Main Outcomes and Measures<\/strong>  The primary outcome was the incidence of postoperative hypoxemia in the postanesthesia care unit. Severe hypoxemia was also evaluated.<\/p>\n\n\n\n

Results<\/strong>\u00a0\u00a0Out of 700 patients (364 men [52.0%]; mean [SD] age, 47.8 [11.3] years), 233 were randomized to group S (126 men [54.1%]; mean [SD] age, 48.2 [10.9] years), 233 to group F (122 men [52.4%]; mean [SD] age, 48.1 [10.9] years), and 234 to group T (118 women [50.4%]; mean [SD] age, 47.2 [12.1] years). Postoperative hypoxemia differed significantly among the 3 groups (group S, 109 of 233 [46.8%]; group F, 105 of 233 [45.1%]; group T, 76 of 234 [32.5%];\u00a0P<\/em>\u2009=\u2009.002). This difference was statistically significant for groups T vs S (risk ratio [RR], 0.69 [95% CI, 0.55-0.87];\u00a0P<\/em>\u2009=\u2009.002) and groups T vs F (RR, 0.72 [95% CI, 0.57-0.91];\u00a0P<\/em>\u2009=\u2009.007), but not for groups F vs S (RR, 0.96 [95% CI, 0.79-1.17];\u00a0P<\/em>\u2009=\u2009.78). Severe hypoxemia also differed among the 3 groups (group S, 61 of 233 [26.2%]; group F, 53 of 233 [22.7%]; group T, 36 of 234 [15.4%];\u00a0P<\/em>\u2009=\u2009.01). This difference was statistically significant for groups T vs S (RR, 0.59 [95% CI, 0.41-0.85];\u00a0P<\/em>\u2009=\u2009.005).<\/p>\n\n\n\n

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Conclusions and Relevance<\/strong>  In this randomized clinical trial of SRP during anesthesia recovery in patients undergoing laparoscopic upper abdominal surgery, postoperative hypoxemia was significantly reduced in group T compared with group F or group S.<\/p>\n\n\n\n

Trial Registration<\/strong>  Chinese Clinical Trial Registry Identifier: ChiCTR2100045087<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Original Investigation  Anesthesiology June 2 […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/26390"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26390"}],"version-history":[{"count":2,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/26390\/revisions"}],"predecessor-version":[{"id":26660,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/26390\/revisions\/26660"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26390"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26390"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26390"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}