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- W2000267527 abstract "During shoulder arthroscopy in the beach-chair position, cerebral ischemia may be a serious complication because prolonged hypotension may affect regional cerebral oxygen supply. We present the cases of 2 patients in whom a reduction in mean arterial pressure after anesthesia provoked a decrease in frontal lobe oxygenation to below the level that causes presyncopal symptoms in the awake subject. In the healthy middle-aged patient, cerebral oxygenation decreased by approximately 40%, indicating that cerebral blood flow was markedly reduced, and intravenous administration of ephedrine rapidly restored cerebral oxygenation. During surgery in the beach-chair position, hypotension must be avoided, and in all patients regional, cerebral oxygenation should be monitored and optimized." @default.
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- W2000267527 date "2010-09-01" @default.
- W2000267527 modified "2023-10-16" @default.
- W2000267527 title "Severe Cerebral Desaturation During Shoulder Arthroscopy in the Beach-Chair Position" @default.
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- W2000267527 doi "https://doi.org/10.1016/j.arthro.2010.03.012" @default.
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