Impaired postural stability after laparoscopic surgery
Background Early postoperative mobilisation may reduce patient morbidity and improve hospital efficiency by accelerated discharge. The aim of this study was to measure postural stability early after laparoscopic surgery in order to assess how early it is safe to mobilise and discharge patients. Meth...
Saved in:
| Published in: | Acta anaesthesiologica Scandinavica Vol. 59; no. 9; pp. 1137 - 1144 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
Blackwell Publishing Ltd
01-10-2015
Wiley Subscription Services, Inc |
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background
Early postoperative mobilisation may reduce patient morbidity and improve hospital efficiency by accelerated discharge. The aim of this study was to measure postural stability early after laparoscopic surgery in order to assess how early it is safe to mobilise and discharge patients.
Methods
We included 25 women undergoing outpatient gynaecological laparoscopic surgery in the study. Patients received standardised anaesthesia with propofol, remifentanil and rocuronium. Postural stability was assessed preoperatively, at 30 min after tracheal extubation, and at discharge from the post‐anaesthesia care unit using a force platform where sway area, mean sway and sway velocity were determined. The assessments were done with eyes closed and with eyes open. The primary outcome was the change in sway area with eyes closed 30 min after extubation. Data are reported as median (25–75% range).
Results
Three patients could not perform all the test's 30 min after extubation.
Thirty minutes after extubation, sway area with eyes closed had increased significantly with 84 mm2 (9–172, P = 0.011) and 108 mm2 with eyes open (25–295, P = 0.0017). Median mean sway had also increased significantly 30 min postoperatively. No significant changes were found for sway velocity.
We found no significant changes in mean sway, sway area or sway velocity at discharge from the post‐anaesthesia care unit approximately 2 h after surgery.
Conclusion
Postural stability was significantly impaired 30 min after outpatient gynaecological laparoscopic surgery. However, the postural stability was normalised at discharge from the post‐anaesthesia care unit 2 h after surgery. |
|---|---|
| Bibliography: | Fig. S1. Criteria used in the standard care of patients admitted to the post-anaesthesia care unit. The criteria were assessed every 30 min and the patient was assessed "ready to be discharged from the postoperative care unit" when the score was ≤ 1 in each category and ≤ 4 in total. Tp, Temperature (°C); UO, urinary output (ml/kg/h); UC, urinary catheter; VAS, Visual analogue scale (mm). The Lippmann Foundation ark:/67375/WNG-NDMR6PG3-P ArticleID:AAS12540 Else and Mogens Wedell - Wedellborgs Foundation The University of Copenhagen Danish Product Development Ltd istex:7AFD0908D5D80BBF50CCF0546A2C77866297DA6F The Tryg Foundation ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 0001-5172 1399-6576 |
| DOI: | 10.1111/aas.12540 |