The lounging position for posterior fossa surgery: anesthesiological considerations regarding air embolism
| Autor: | Walter Bini, Madjid Samii, Dieter Suhr, H.-H. Von Gösseln |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Posture Cerebellopontine Angle Sitting Air embolism law.invention Positive-Pressure Respiration Stereotaxic Techniques Postoperative Complications Infusion therapy Risk Factors law medicine Embolism Air Humans Child Intraoperative Complications Aged Aged 80 and over Neurologic Examination business.industry Infant Neuroma Acoustic General Medicine Middle Aged medicine.disease Echoencephalography Surgery Catheter Cranial Fossa Posterior Child Preschool Pediatrics Perinatology and Child Health Stereotaxic technique Ventilation (architecture) Female Neurology (clinical) Neurosurgery business Complication |
| Zdroj: | Child's Nervous System. 7:368-374 |
| ISSN: | 1433-0350 0256-7040 |
| Popis: | The sitting position for operations in the posterior fossa remains controversial in both adults and children, primarily because of the risk of air embolism. The reports on the incidence of this complication are varied. We retrospectively reviewed the data on 704 patients (age range 1-82 years) operated on in a lounging position for varied posterior fossa pathology from January 1984 up to December 1989. As diagnostic monitoring, we uniformly employed a Doppler ultrasound device, an atrial catheter, and capnometry. In 37 adults (5.5%) and 9 children (9/34) air embolism was diagnosed, without either morbidity or mortality. A lounging position, together with adequate infusion therapy and ventilation with PEEP, considerably reduces the risk of air embolism. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink