超反叛性方法的动态侧面半坐位位置:技术说明和案例系列
Yunus Emre Durmuş1, Barış Kaval2, Bülent Timur Demirgil2
1Department of Neurosurgery, Ondokuz Mayis University, School of Medicine, Samsun, Turkey.
Operative neurosurgery (Hagerstown, Md.)
|May 31, 2023
概括
动态横向半坐位置用于大脑上靠近手术,最大限度地降低了静脉气栓塞 (VAE) 的风险. 这种创新技术提供了安全地坐着和半坐着的优势.
科学领域:
- 神经外科 神经外科
- 手术定位手术定位手术定位
- 麻醉学 麻醉学
背景情况:
- 对于supracerebellar方法的最佳患者位置仍在争论中.
- 静脉气栓塞 (VAE) 是在这些程序期间与坐姿和半坐姿相关的重大风险.
研究的目的:
- 为了评估一个动态的横向半坐位位置的supracerebellar方法.
- 评估减少VAE和张力肺脑风险的情况.
- 为了利用半坐姿的优势,同时减轻风险.
主要方法:
- 11名患者在动态横向半坐姿中接受了超大脑小脑靠近手术.
- 监测包括潮尾二氧化碳和动脉血压,以检测VAE.
- 患者的诊断是多样化的,反映了该方法的多样化应用.
主要成果:
- 没有患者经历了临床显著的静脉气栓塞 (VAE).
- 没有记录过张力肺脑病或其他重大并发症的病例.
- 所有患者在术后安全地被抽管.
结论:
- 动态横向半坐位位置是超大脑小骨方法的可行替代方案.
- 与传统位相比,这种位似乎可以降低VAE的风险.
- 该技术结合了坐着和半坐着姿势的好处,并提高了安全性.
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