Hypotension in the Right Lateral Position Secondary to Inferior Vena Cava Abnormality. Issue 6 (15th September 2015)

• Record Type: Journal Article
• Authors: Hutton, Meredith J. H.; Swamy, Ganesh; Shinkaruk, Kelly; Duttchen, Kaylene
• Is Part Of: A & A case reports. Volume 5:Issue 6(2015:Jun.)
• Publication Date: 2015-09-15
• Subjects: Anesthesiology -- Periodicals; Anesthesia -- Periodicals; Anesthesiology; Analgesia; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000195
• Languages: English
• ISSNs: 2325-7237

Abstract

Abstract : Surgical positioning is accompanied by numerous anesthetic considerations, particularly its potential effects on the cardiovascular, respiratory, and nervous systems. Clinical studies have shown that lateral positioning does not affect hemodynamics; however, with the addition of trunk flexion, there is a decrease in cardiac output, which may be secondary to caval compression. In this report, we describe a unique case of hypotension that arose in a patient positioned only in the right lateral decubitus position with flexion and that was exacerbated by an abnormally narrow inferior vena cava.