Intraoperative Patient Positioning and Neurological Injuries
Thoracic cases usually involve repositioning the patient after induction of anesthesia. Vigilance is required to avoid major displacement of airway devices, lines, and monitors during and after position changes. Obtaining central venous access after changing to the lateral position is extremely difficult. If a central line may be needed it should be placed at induction. Prevention of peripheral nerve injuries in the lateral position requires a survey of the patient from the head and sides of the operating table prior to draping. Postthoracotomy paraplegia is primarily a surgical complication.
KeywordsLateral Position Brachial Plexus Epidural Hematoma Spinal Cord Ischemia Lateral Flexion
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