Monitoring the changes of estimated continuous cardiac output during hip replacement surgery using Nihon Kohden monitor

  • Phan Thị Thu Yến Bệnh viện Đa khoa Tâm Anh- TP. Hồ Chí Minh
  • Phan Ton Ngoc Vu Ho Chi Minh City University of Medicine and Pharmacy Hospital
  • Vo Van Hien Military Medical Academy

Main Article Content

Keywords

Estimated continuous cardiac output (esCCO),, hip replacement surgery

Abstract

Objective: To observe the haemodynamic changes after spinal anaesthesia during hip replacement monitored non-invasively with Nihon Kohden Monitor. Subject and method: A prospective cross-sectional descriptive study was conducted amongst 66 patients undergoing hip replacement after spinal anesthesia at Tam Anh Hospital (Ho Chi Minh City) from May 2021 to March 2022 to investigate estimated continuous cardiac output (esCCO) across different times intraoperatively. Result: esCCO was decreased from incision to the end of surgery at a rate of 9% to 14.6% (p<0.001), peaked after acetabular exposure at 14.6% (p<0.001). Conclusion: Overall, the esCCO index is reduced during hip surgery. Therefore, it is necessary to closely monitor the hemodynamic changes, especially during the acetabular exposure and reaming, in order to have appropriate interventions.

Article Details

References

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