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Related Experiment Video

Updated: Jan 17, 2026

A Craniotomy Surgery Procedure for Chronic Brain Imaging
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Craniotomy in Semi-sitting Position: A 4-year Single Institution Experience.

Arunabha Karmakar1, Muhammad Jaffar Khan1, Ayten Saraçoğlu1,2

  • 1Hamad Medical Corporation, Department of Anaesthesiology, Intensive Care Unit and Perioperative Medicine, Doha, Qatar.

Turkish Journal of Anaesthesiology and Reanimation
|September 24, 2025
PubMed
Summary

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Craniotomies in the semi-sitting position yielded positive patient outcomes, with 90% of cases experiencing no major long-term complications. Careful management by an experienced team is key to navigating challenges and improving results.

Area of Science:

  • Neurosurgery
  • Anesthesiology
  • Patient Outcomes

Background:

  • The semi-sitting position for craniotomies presents unique surgical and anesthetic challenges.
  • Assessing patient outcomes and complication rates is crucial for refining surgical techniques.

Purpose of the Study:

  • To determine patient outcomes following craniotomies performed in the semi-sitting position.
  • To evaluate surgical and anesthetic outcomes and identify major complications.

Main Methods:

  • Retrospective review of hospital records for adult patients undergoing craniotomy in the sitting position (2019-2023).
  • Examination of individual charts for intra- and postoperative events.
  • Descriptive analysis of demographic and clinical data, with parametric comparisons using Student's t-test.
Keywords:
Craniotomyneuroanaesthesiaperioperative carepneumocephalussitting positionvenous air embolism

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Main Results:

  • Ten craniotomies were performed in the sitting position between 2019 and 2023.
  • Nine patients developed pneumocephalus; one experienced increased intracranial pressure.
  • One patient had a severe venous air embolism with significant pleural effusion; most patients were extubated post-surgery.

Conclusions:

  • 90% of craniotomies in the sitting position were managed without major long-term sequelae.
  • Despite challenges, a dedicated and experienced team can effectively manage complications.
  • Optimizing patient outcomes in the sitting position requires skilled multidisciplinary care.