Perioperative medicine & outcomes
Effects of Goal-Directed Hemodynamic Therapy Using a Noninvasive Finger-Cuff Monitoring Device on Intraoperative Cerebral Oxygenation and Early Delayed Neurocognitive Recovery in Patients Undergoing Beach Chair Position Shoulder Surgery: A Randomized Controlled Trial
Primary result · CDE durationResult — go to the resultMedian difference −8 min 95% CI −15 to 0Authors' conclusion
Implementing GDHT using a noninvasive finger-cuff monitoring device stabilizes intraoperative cerebral oxygenation and is associated with improved early postoperative cognitive scores in patients undergoing BCP shoulder surgery.
Study context
- Population
- Adults undergoing beach chair position shoulder surgery
- Participants
- 70 adults
- Comparison
- Goal-directed hemodynamic therapy (GDHT) vs control
- Primary endpoint
- CDE duration
Methodological details1:1 ratio
- 1:1 ratio
Primary result
As reported in the abstract
Median difference
−8 min
95% CI −15 to 0
P = 0.007
By group
GDHT vs Control
median difference −8 min (95% CI −15 to 0); P = 0.007
Secondary outcomes
| Outcome | GDHT | Control | RR (95% CI) | P value | |
|---|---|---|---|---|---|
| CDE occurrence | 23% | 51% | 0.44 (0.22–0.89) | P = 0.025 | |
| Mild delayed neurocognitive recovery | 17% | 40% | 0.60 (0.39–0.93) | P = 0.034 | |
| 0.20.5125Relative risk (log scale) |
| Outcome | Difference in means (CI) | P value | |
|---|---|---|---|
| Qmci-TW score, adjusted for baseline (day before surgery) · First postoperative daySignificantly higher in the GDHT group | 4 (0–8) | P = 0.033 | |
| −50510Difference (linear scale) |
Original publication
Effects of Goal-Directed Hemodynamic Therapy Using a Noninvasive Finger-Cuff Monitoring Device on Intraoperative Cerebral Oxygenation and Early Delayed Neurocognitive Recovery in Patients Undergoing Beach Chair Position Shoulder Surgery: A Randomized Controlled Trial. Anesth Analg. Published 22 September 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →