Related Experiment Video
Updated: Apr 17, 2026
07:43
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
20.2K
Sitting position for pineal surgery: Some anaesthetic considerations.
1Pierre Wertheimer Neurosurgical and Neurological Hospital, Hospices Civils de Lyon, 59, boulevard Pinel, 69500 Bron, France.
Neuro-Chirurgie
|February 14, 2015
Summary
The sitting position for pineal tumor removal offers good surgical access but carries risks. Proper management significantly reduces complications, making it the gold standard for training teams.
Area of Science:
- Neurosurgery
- Anesthesiology
Background:
- The sitting position for pineal tumor removal is debated due to potential complications.
- Despite surgical advantages, risks associated with this position require careful consideration.
Purpose of the Study:
- To systematically review complications associated with the sitting position during pineal tumor removal.
- To determine the incidence and prevention strategies for these complications.
Main Methods:
- A systematic literature review was performed.
- Data on complications, their frequency, and preventive measures were collected.
Main Results:
- Common complications include venous air embolism, hypotension, pneumocephalus, macroglossia, quadriplegia, and nerve injuries.
- Effective anesthesiological and neurosurgical management can significantly decrease complication incidence.
Conclusions:
- The sitting position is considered the gold standard for pineal tumor removal, particularly for training teams.
- Careful management is crucial for mitigating risks and ensuring patient safety.
Related Concept Videos
01:24General Anesthesia: Overview
1.2K
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
1.2K
01:11Anatomical Positions
23.2K
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
23.2K
01:22Stages of General Anesthesia
2.5K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
2.5K
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
1.1K
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.1K
01:24Parenteral Anesthetics: Overview
972
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
972
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
2.0K
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
2.0K