The Effect of Compression Stockings on Cerebral Desaturation Events in Obese Patients Undergoing Shoulder Arthroscopy in the Beach-Chair Position Journal Article


Authors: Tauchen, A. J.; Salazar, D; Barton, G. J.; Francois, A.; Tonino, P; Garbis, N. G.; Evans, D
Article Title: The Effect of Compression Stockings on Cerebral Desaturation Events in Obese Patients Undergoing Shoulder Arthroscopy in the Beach-Chair Position
Abstract: PURPOSE: To determine if the use of thigh-high compression stockings could decrease the incidence of cerebral desaturation events (CDEs) in patients with a body mass index (BMI) of 30 kg/m2 or greater undergoing shoulder arthroscopy in the beach-chair position (BCP). METHODS: Between December 2013 and May 2014, 23 patients aged 18 years or older with a BMI of 30 kg/m2 or greater undergoing shoulder arthroscopy in the BCP were monitored intraoperatively using near-infrared spectroscopy while wearing thigh-high compression stockings. Data obtained on these patients were compared with data from a previous cohort at our institution comprising 24 patients with a BMI of 30 kg/m2 or greater who underwent elective shoulder arthroscopy in the BCP with the same monitoring but without wearing compression stockings. The incidence of CDEs was identified in each group. RESULTS: The incidence of CDEs in the group with compression stockings was 4% (1 of 23) compared with 18% (7 of 24) in the group without compression stockings (P = .048). There were no statistically significant differences in mean age (53.0 years v 53.3 years, P = .91), mean BMI (34.5 kg/m2v 36.2 kg/m2, P = .21), or various medical comorbidities between the treatment group and control group. There was a significant difference in the operative time between the treatment group (156.6 minutes) and control group (94.1 minutes) (P .001). CONCLUSIONS: The use of thigh-high compression stockings may decrease the incidence of CDEs in obese patients undergoing shoulder arthroscopy in the BCP. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
Journal Title: Arthroscopy : The Journal of Arthroscopic Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
ISSN: 1526-3231; 0749-8063
Publisher: Elsevier Inc  
Date Published: 2015
Language: ENG
DOI/URL:
Notes: LR: 20150808; CI: Copyright (c) 2015; JID: 8506498; 2014/11/18 [received]; 2015/06/02 [revised]; 2015/06/17 [accepted]; aheadofprint