Effects of head direction during prone position on postoperative delirium in elderly patients undergoing thoracolumbar spine surgery: a study protocol for a randomised controlled trial.

ABSTRACT:

Introduction

Prone positioning with head rotation can influence cerebral haemodynamics, potentially affecting cerebral perfusion and oxygenation. Elderly patients with impaired brain perfusion and oxygenation are at an increased risk of developing postoperative delirium (POD). Despite this, few studies have explored whether head orientation during prone positioning contributes to POD in older adults, an aspect often overlooked by clinicians. This study aimed to evaluate the impact of head orientation during prone positioning on the incidence of POD in elderly patients undergoing thoracolumbar spine surgery.

Methods and analysis

This study is a single-centre, randomised, single-blind trial, with the assessors blinded to the intraoperative head position. Eligible participants

SUBMITTER: Zhu J 

PROVIDER: S-EPMC11749493 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature