Anesthetic Considerations for Sitting Craniotomy

Maheshwari, Kamal; Thapa, Sushma

doi:10.1097/01.cne.0000358626.74587.80

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2021

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“…Posterior fossa surgery in sitting position was first done in 1914 by De Martel under local anaesthesia. 1 Frazier and Gardner reported use of this position for surgery on the Gasserian ganglion in 1928. 1 With advent of newer technologies, more challenging procedures were done in sitting position.…”

Section: Introductionmentioning

confidence: 99%

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A case report of anaesthesia for craniotomy in sitting position

Rao

Velmurugan²

2021

IJCA

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Tumors in the posterior fossa can be done in lateral, supine, prone, sitting and in park bench positions. Depending on the exact position of the lesion and the technical preference of the surgeon, sitting position may be preferred. Sitting position grants best possible access to deeper structures with minimal retraction. However, maintenance of anaesthesia in this position for long duration pose some serious challenges to the anaesthesiologist including high risk of venous air embolism (VAE), hemodynamic instability and respiratory disturbances. Here, we present a case report of a 36year old male diagnosed with pineal gland space occupying lesion (SOL), operated in the sitting position under general anaesthesia. We discuss about anaesthetic management and possible complications that can be encountered.

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Section: Introductionmentioning

confidence: 99%

“…1 Frazier and Gardner reported use of this position for surgery on the Gasserian ganglion in 1928. 1 With advent of newer technologies, more challenging procedures were done in sitting position.…”

Section: Introductionmentioning

confidence: 99%

A case report of anaesthesia for craniotomy in sitting position

Rao

Velmurugan²

2021

IJCA

View full text Add to dashboard Cite

show abstract

Anesthetic Considerations for Sitting Craniotomy

Cited by 1 publication

References 8 publications

A case report of anaesthesia for craniotomy in sitting position

A case report of anaesthesia for craniotomy in sitting position

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