Effect of the degree of head elevation on the incidence and severity of venous air embolism in cranial neurosurgical procedures with patients in the semisitting position

TÜRE H., HARPUT M., BEKİROĞLU G. N., KESKİN Ö., Koner O., Ture U.

JOURNAL OF NEUROSURGERY, vol.128, no.5, pp.1560-1569, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 128 Issue: 5
  • Publication Date: 2018
  • Doi Number: 10.3171/2017.1.jns162489
  • Journal Name: JOURNAL OF NEUROSURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1560-1569
  • Keywords: craniotomy, posterior fossa surgery, semisitting position, transesophageal echocardiography, venous air embolism, POSTERIOR-FOSSA SURGERY, SITTING POSITION, TRANSESOPHAGEAL ECHOCARDIOGRAPHY, REINFUSION BAGS, FACIAL-NERVE, CASE SERIES, PRESERVATION, ANESTHESIA, EXPERIENCE, MANAGEMENT
  • Marmara University Affiliated: Yes

Abstract

OBJECTIVE The semisitting position of a patient confers numerous advantages in various neurosurgical procedures, but venous air embolism is one of the associated complications of this position. To date, no prospective studies of the relationship between the degree of head elevation and the rate and severity of venous air embolism for patients undergoing a procedure in this position have been performed. In this study, the authors compared changes in the severity of venous air embolism according to the degree of head elevation (30 degrees or 45 degrees) in patients undergoing an elective cranial neurosurgical procedure in the semisitting position.