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The 15° reverse Trendelenburg position can improve visualization without impacting cerebral oxygenation in endoscopic sinus surgery—A prospective, randomized study

International Forum of Allergy & Rhinology Dec 16, 2020

Yang W, Wang G, Li H, et al. - Researchers conducted the study for comparing intraoperative bleeding and regional cerebral oxygenation in patients with different degrees of the reverse Trendelenburg position (RTP) during endoscopic sinus surgery (ESS). A total of 120 patients with chronic rhinosinusitis treated by ESS were randomly assigned to the following 4 groups: a horizontal position (HP) group, and 5°, 10°, and 15° RTP (5‐RTP, 10‐RTP, and 15‐RTP, respectively) groups. According to this prospective, randomized study, compared with HP, 5‐RTP, and 10‐RTP, 15-RTP during ESS will increase visual clarity, and the degree of RTP does not affect ScO2. This research did not detect any cerebral deoxygenation or vital organ dysfunction. Therefore for ESS, 15‐RTP with moderate deliberate hypotension was recommend.

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