ANESTHETIC IMPLICATIONS OF PATIENT POSITIONING IN NEUROSURGERY (Part I) Academic Article uri icon

abstract

  • Patient positioning in surgical procedures has serious implications on clinical outcome. While surgical approach and exposure are considered by surgeons, frequently, the importance of properly positioning the patient, accounting for the clinical situation and co- morbidities, is overlooked. This is particularly true in many neurosurgical procedures, which require prolonged anesthesia and immobilization. Traditionally, it is the anesthesiologist's responsibility to look after the well being of the patient, and maintain an adequate physiological environment, promoting full recovery. In this review, we analyze the different positions common in neurosurgery considering and balancing between surgical exposure, hemodynamic implications, patient comfort and neurological outcomes. The latter should be given particular attention, as it might be difficult to differentiate between neurological …

publication date

  • January 1, 2009