Limited effect of leg elevation in preventing intraoperative hypotension during total shoulder arthroplasty in the beach chair position: a randomized controlled trial.

ABSTRACT:

Background

The beach chair position, often used in shoulder surgery, increases the risk of hypotension and cerebral hypoperfusion. This randomized controlled trial evaluated the efficacy of leg elevation in preventing hypotension during total shoulder arthroplasty in the beach chair position.

Methods

Fifty patients scheduled for total shoulder arthroplasty in the beach chair position were randomly assigned to the control (25 patients) or treatment (25 patients) groups. The treatment group elevated their legs during surgery, whereas the control group maintained a neutral leg position. The primary outcome was the incidence of hypotension. The secondary outcomes included the incidence of cerebral desaturation, hemodynamic variables, and vasoconstrictor use.

Results

The i

SUBMITTER: Nam S 

PROVIDER: S-EPMC12487133 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature