Journal article

Anaesthesia for neurosurgery in the sitting position

T Gale, K Leslie

Journal of Clinical Neuroscience | ELSEVIER SCI LTD | Published : 2004


The sitting position offers many advantages in terms of surgical access for posterior fossa and posterior cervical spine surgery. However, these advantages must be balanced against the risks which include venous and paradoxical arterial air embolism, cerebral and myocardial ischaemia secondary to hypotension, and complications of the positioning itself. These are largely in the domain of the neuroanaesthetist. In this paper, therefore, we will review the advantages, disadvantages and management of complications of the sitting position, from the neuroanaesthetist's perspective.

University of Melbourne Researchers