Abstract
In order to reach the lesions through the minimal invasive corridor, patients are sometimes immobilized in specific postures that seem nonphysiological during neurosurgical procedures. There is concern that these positions may result in peripheral neuropathy and formation of pressure ulcers. The limitations of movements in the diaphragm and rib cage may affect respiratory functions. It is not uncommon that the skull is placed in anteflexion or greatly rotated, thus causing inhibition of venous return and increased intracranial pressure. If the head position is elevated extremely high and the pressure in the venous sinus becomes negative, there is a risk of the development of an air embolism.
To avoid these problems, the checkup points and physiological effects in the basic positioning of neurosurgical procedures are mentioned in this chapter.
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Jimbo, H., Ikeda, Y. (2015). Positioning of Neurosurgical Patients. In: Uchino, H., Ushijima, K., Ikeda, Y. (eds) Neuroanesthesia and Cerebrospinal Protection. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54490-6_26
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DOI: https://doi.org/10.1007/978-4-431-54490-6_26
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