Obstetric anesthesia

Effect of left paratracheal pressure on left carotid blood flow

Acta Anaesthesiol ScandPublished Prospective observational study

Main finding · PSV in the left common carotid arteryResult — go to the resultMean PSV difference −15.30 cm s-1 95% CI −31.09 to 0.48

Authors' conclusion

Our results suggest that LPP does not have a significant effect on carotid blood flow in individuals without a carotid pathology.

Study context

Population
Healthy adult volunteers without carotid anomalies (pregnant women excluded)32 women
Participants
47 volunteers
Exposure
Carotid measurements during LPP vs before LPP
Outcome
Hemodynamic effects of LPP on carotid blood flow (PSV in the left common carotid artery)
Methodological detailsbefore-and-after measurements, healthy volunteers
  • Before-and-after measurements
  • Healthy volunteers

Main finding

PSV in the left common carotid artery

Mean PSV difference

−15.30 cm s-1

95% CI −31.09 to 0.48

P = 0.14

After LPP vs Before LPP
mean PSV difference −15.30 cm s-1 (95% CI −31.09 to 0.48); P = 0.14

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEstimateP value
Surface of the left common carotid arteryAfter LPP vs Before LPPmean surface difference 24.52 mm² (95% CI 6.11–42.92)P = 0.11
Surface of the left internal carotid arteryAfter LPP vs Before LPPdifference −18.89 mm² (CI −51.59 to 13.80)P = 0.58

Original publication

Effect of left paratracheal pressure on left carotid blood flow. Acta Anaesthesiol Scand. Published 5 October 2023. doi:10.1111/aas.14328

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