Perioperative Considerations and Positioning for Neurosurgical Procedures

A Clinical Guide

  • Adam Arthur
  • Kevin Foley
  • C. Wayne Hamm

Table of contents

  1. Front Matter
    Pages i-xix
  2. C. Wayne Hamm
    Pages 27-50
  3. C. Wayne Hamm, Jaafar Basma
    Pages 51-63
  4. Jaafar Basma, Vincent Nguyen, Jeffrey Sorenson
    Pages 83-100
  5. L. Madison Michael II, Douglas R. Taylor
    Pages 101-110
  6. Mirza Pojskic, Kenan I. Arnautovic
    Pages 111-131
  7. Kevin Foley
    Pages 133-135
  8. Shaheryar F. Ansari, Jean-Pierre Mobasser
    Pages 137-147
  9. Matthew T. Brown, Raul Cardenas, Julius Fernandez
    Pages 149-158
  10. Prayash Patel, Christopher Nickele
    Pages 159-174
  11. Pascal O. Zinn, Ganesh Rao
    Pages 191-204
  12. Emily P. Sieg, Shelly D. Timmons
    Pages 213-222
  13. Thomas Scott Guyton
    Pages 223-239
  14. Abhi Pandhi, Lucas Elijovich
    Pages 241-249
  15. Emily Hamm Huseth
    Pages 265-278
  16. Back Matter
    Pages 279-287

About this book


There are relationships that exist between neuroanesthesia, neurosurgical procedures, individual patient pathology and the positioning of a patient for said procedure.  A comprehensive examination of these relationships, their association with patient morbidity/mortality and how to approach these issues in an evidence-based manner has yet to become available. Positioning related injuries have been documented as major contributors to neurosurgical/neuroanesthesiology liability.

 This text examines these relationships. It provides considerations necessary to the correct positioning of a patient for a neurosurgical procedure for each individual patient and their individual pathology. In other words, this text will demonstrate how to construct the necessary surgical posture for the indicated neurosurgical procedure given the individual constraints of the patient within the environment of anesthesia and conforming to existing evidence-based practice guidelines. Sections will address physiological changes inherent in positioning in relation to anesthesia for neurosurgical procedures, assessment of patient for planned procedure, as well as considerations for managing problems associated with these relationships. Additional sections will examine the relationship between neurosurgical positioning and medical malpractice and the biomechanical science between positioning devices and neurosurgical procedures.

Neurosurgery and its patient population are in a constant state of change. Providing the necessary considerations for the neurosurgical procedure planned under the anesthesia conditions planned in the position planned, often in the absence of multicase study literary support, without incurring additional morbidity is the goal of this text.


Patient position lithotomy position Positioning pregnant patients patient transportation Positioning devices

Editors and affiliations

  • Adam Arthur
    • 1
  • Kevin Foley
    • 2
  • C. Wayne Hamm
    • 3
  1. 1.Semmes-Murphey Neurologic and Spine ClinicMemphisUSA
  2. 2.Semmes-Murphey Neurologic and Spine ClinicMemphisUSA
  3. 3.Medical Anesthesia GroupGermantownUSA

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing AG 2018
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-72678-6
  • Online ISBN 978-3-319-72679-3
  • Buy this book on publisher's site