NEURO CHIRURGIE ET CHIRURGIE EN POSITION ASSISE

The sitting position has many advantages in neurosurgery, in spite of the attendant risks of gas embolism and circulatory instability. It makes the approach to the operation much easier and reduces hemorrhage. The hazards of this technique may be minimised by anticipating gas embolism, its routes of entry, its effect on cardiorespiratory function and its clinical signs, besides bearing in mind the differential diagnosis these signs may suggest. For anaesthesia in the upright position, controlled respiration is essential; no nitrous oxide or muscle relaxants should be used, and venous pressure must be maintained at optimum levels.
SCOPUS: NotDefined.j
info:eu-repo/semantics/published