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The lateral sitting position for neurosurgery

F Garcia-Bengochea, E S Munson, J V Freeman

    Anesthesia and Analgesia
    |May 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

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    The lateral sitting position offers advantages for posterior fossa and spine neurosurgery. It allows for rapid patient repositioning and better management of hypotension and air embolism compared to the conventional sitting position.

    Area of Science:

    • Neurosurgery
    • Anesthesiology
    • Patient Positioning

    Background:

    • The conventional sitting position is commonly used for posterior fossa and spine neurosurgery.
    • Potential complications include arterial hypotension and venous air embolism.
    • Patient repositioning can be challenging in the conventional sitting position.

    Purpose of the Study:

    • To evaluate the efficacy and safety of the lateral sitting position for neurosurgical procedures.
    • To compare the lateral sitting position with the conventional sitting position regarding patient management and surgical outcomes.

    Main Methods:

    • Anesthetic management of over 300 patients in the lateral sitting position for posterior fossa, cervical, and upper thoracic spine surgeries over 20 years.
    • Assessment of patient repositioning ease and speed.

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  • Monitoring and management of arterial hypotension and venous air embolism.

    • Main Results:

    • The lateral sitting position facilitates quick and easy repositioning to the horizontal position.
    • This position offers advantages in managing arterial hypotension and venous air embolism.
    • Satisfactory surgical completion was achieved with patients in the lateral horizontal position.

    Conclusions:

    • The lateral sitting position is a viable and advantageous alternative for specific neurosurgical procedures.
    • It enhances patient safety by simplifying management of critical intraoperative events.
    • This positioning technique supports successful surgical outcomes.