Carbon dioxide field flooding reduces the hemodynamic effects of venous air embolism occurring in the sitting position

Longatti, Pierluigi; Marton, Elisabetta; Feletti, Alberto; Falzarano, M.; Canova, Giuseppe; Sorbara, Carlo

doi:10.1007/s00381-015-2742-2

Cited by 7 publications

(2 citation statements)

References 23 publications

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“…41 Longatti et al in their preliminary study of 10 cases suggested that a CO 2 -enriched surgical field decreased the hemodynamic effects of VAE, since CO 2 emboli are more soluble and therefore better tolerated than air emboli. 42 Matjasko et al reported a significantly higher incidence of VAE in children (62%) compared with adults (23%); however, a retrospective comparison between adults and children undergoing suboccipital craniotomy in the sitting position by Cucchiara et al showed a lower incidence of VAE in children (16 of 48) than in adult controls (22 of 48). 43,44 Bithal et al similarly reported the incidence as 22% in children and 28% in adults out of a total of 430 patients (96 children and 334 adults) who underwent posterior fossa surgery in the sitting position.…”

Section: Complicationsmentioning

confidence: 97%

Sitting Position in Neurosurgery

Goraksha

Thakore

Monteiro

2019

Journal of Neuroanaesthesiology and Critical Care

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Neurosurgery in the sitting position is used for resection of tumors located in the cerebellopontine angle, pineal region, other technically difficult tumors in the infratentorial region, as well as surgeries of the cervical spine. Since its inception, the use of this particular position has been contentious due its risk-benefit analysis. With improved microsurgical equipment and surgical and anesthetic techniques, as well as advanced monitoring techniques to assure patient safety, many centers are revisiting the sitting position for its potential benefits. Abstract Keywords ► patent foramen ovale ► sitting position ► venous air embolismTo ensure patient safety and a successful outcome, a thorough preoperative anesthetic evaluation to decide if the sitting position is suitable for the patient is essential. As in any neurosurgical case, all patients need to be evaluated preoperatively for physical and neurological status, as well J Neuroanaesthesiol Crit

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Section: Complicationsmentioning

confidence: 97%

Sitting Position in Neurosurgery

Goraksha

Thakore

Monteiro

2019

Journal of Neuroanaesthesiology and Critical Care

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“…La irrigación del campo con dióxido de carbono se ha utilizado para reducir los efectos hemodinámicos del EAV [23]. El catéter con balón intrajugular también se usa para prevenir el EAV [24].…”

Section: Complicaciones Asociadas Con La Posición Sentada A) Embolia Aérea Venosa (Eav)unclassified

Posiciones en neurocirugía

2021

Rev. chil. anest.

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Patient position is an integral part of operative planning. Pressure-related injuries can be prevented, the corridor expanded using gravity retraction, and surgeon fatigue minimized. Positioning the patient for surgery often does not receive the attention it deserves. The small openings leading into Deep operative fields require ergonomic patient positions to ensure a precise operative trajectory. RESUMENLa posición del paciente es una parte integral de la planificación operatoria. Se pueden prevenir las lesiones relacionadas con la presión, expandir el pasillo operatorio usando retracción por gravedad y minimizar la fatiga del cirujano. La colocación del paciente para la cirugía frecuentemente no recibe la atención que merece. Las pequeñas aberturas que llevan a los campos operatorios profundos requieren posiciones ergonómicas del paciente para asegurar una trayectoria operativa precisa.

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