Anaesthesia for Neurosurgery in the Sitting Position: A Practical Approach
نویسندگان
چکیده
منابع مشابه
The sitting position in neurosurgery: a critical appraisal.
The potential for serious complications after venous air embolism and successful malpractice liability claims are the principle reasons for the dramatic decline in the use of the sitting position in neurosurgical practice. Although there have been several studies substantiating the relative safety compared with the prone or park bench positions, its use will continue to decline as neurosurgeons...
متن کاملCardiorespiratory effects of the sitting position in neurosurgery.
The cardiorespiratory effects of raising patients from the supine to the sitting position for neurosurgery were investigated. The change caused marked decreases in cardiac index, stroke volume, PaO2 and Qs/Qt, with a significant increase in (PAO2-PaO2) and total peripheral resistance. It is concluded that patients who maintain normotension in the sitting position do not necessarily have an adeq...
متن کاملInduction position for spinal anaesthesia: sitting versus lateral position.
OBJECTIVE To compare the effect of induction position on block characteristics (sensory and motor nerves) and haemodynamic stability in elderly patients with isobaric bupivacaine. Patient comfort was also looked at. METHODS The randomized single blinded study was conducted at the Aga Khan University Hospital, Karachi, from September 2007 to August 2008. A total of 70 patients aged >60 years o...
متن کاملGeneral anaesthesia for neurosurgery.
Anaesthesia for neurosurgery, especially intracranial operations, requires conditions which maintain the perfusion of the brain with blood. This perfusion results from the cerebral perfusion pressure: the difference between the arterial and the intracranial pressures. Anaesthesia must also facilitate surgical access by reducing brain volume and minimizing surgical haemorrhage. Other common prob...
متن کامل[A retrospective study of air embolism during neurosurgery in the sitting position].
Two patients undergoing posterior fossa exploration in the sitting position for removal of foramen magnum meningiomata suffered circulatory arrest from air embolism. Both were successfully resuscitated. The mechanism of air embolism is discussed with a review of relevant literature. The disadvantages of spontaneous ventilation are emphasized and it is recommended that controlled positive-positi...
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ژورنال
عنوان ژورنال: Anaesthesia and Intensive Care
سال: 2005
ISSN: 0310-057X,1448-0271
DOI: 10.1177/0310057x0503300307