Anesthetic Management of Patients Undergoing Open Suboccipital Surgery

Tarnal, Vijay

doi:10.1016/j.anclin.2020.11.001

Cited by 2 publications

(3 citation statements)

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“…It can be performed in several positions, depending on the surgeon’s approach and tumour location. Although many surgeons highlight important advantages of the sitting position, such as offering the best surgical access and anatomic orientation, as well as gravitational venous and cerebrospinal fluid drainage away from the surgical site, it has troublesome aspects, namely the bigger risk of cerebral hypoperfusion, tension pneumocephalus, or air embolism [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding air embolisms, intravascular hydration is thought to help increase the patient’s venous pressure and reduce the risk of air entrainment [ 3 ]. If suspected, air emboli should be promptly treated with 100% oxygen, increased fresh gas flows, and interruption of nitrous oxide if in use.…”

Section: Discussionmentioning

confidence: 99%

“…If it is safe to do so, the patient's head should be lowered as much as possible, preferably below the level of the heart, to increase cerebral venous pressure. Aspiration from a multipore CVC inside or close to the right atrium can assist with air extraction [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Anaesthetic Management of a Foramen Magnum Meningioma Resection Surgery: A Case Report

Rodrigues¹,

Marques²,

Marques³

et al. 2023

Cureus

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The foramen magnum meningioma (FMM) is one of the most threatening tumours among the meningiomas because of its specific location, clinical course, subtle onset, and relatively big dimensions at presentation. Tumour size may mandate careful airway management to avoid further brainstem compression. The surgical management of these complex tumours in the posterior fossa can be performed with the patient in several positions. A lot of surgeons believe the sitting position provides important advantages, yet this remains controversial. We report a successful approach to a large FMM resection surgery performed in the sitting position.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%