Acta Neurochirurgica

, Volume 61, Issue 1–3, pp 173–179 | Cite as

Sitting or prone? Another argument for the latter

  • Z. Kalenda
  • P. N. Greuter


The case is described of a one-year-old child who underwent a craniectomy in the prone position for the removal of an ependymoma of the cerebellar vermis which had invaded the fourth ventricle. Circulatory arrest occurred. External cardiac massage was successfully carried out without any change of position, and the operation was satisfactorily completed. It is suggested that such an outcome would have been less likely had the patient been in the sitting position. The value of capnography as a guide to the adequacy of the circulation is emphasized and illustrated.


Posterior fossa prone position circulatory arrest external cardiac massage capnography 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Verbiest, H., Décompresion du canal étroit cervical d'origine osseuse par abord postérieur. Encyclopédie Médico-Chirurgicale. Techniques Chirurgicales. Orthopédie — Traumatologie, Paris,44181 (1979), 7–12.Google Scholar
  2. 2.
    Smalhout, B., Capnography. Its importance in diagnosis, operations and after-treatment of neurosurgical patients. (Thesis), Oosthoek, Utrecht, Netherlands (1967).Google Scholar
  3. 3.
    Smalhout, B., Kalenda, Z., An Atlas of Capnography. Kerckebosch, Zeist, Netherlands (1975).Google Scholar
  4. 4.
    Kalenda, Z., The capnogram as a guide to the efficacy of cardiac massage. Resuscitation6 (1976), 259–263.Google Scholar
  5. 5.
    Kalenda, Z., Equipment for capnography. Brit. J. Clin. Equip.5 (1980), 180–193.Google Scholar

Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • Z. Kalenda
    • 1
  • P. N. Greuter
    • 1
  1. 1.Institute of Anaesthesiology and Department of NeurosurgeryUniversity Hospital UtrechtThe Netherlands

Personalised recommendations