• J Clin Neurosci · Sep 2004

    Review

    Anaesthesia for neurosurgery in the sitting position.

    • T Gale and K Leslie.
    • Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Vic. 3050, Australia.
    • J Clin Neurosci. 2004 Sep 1;11(7):693-6.

    AbstractThe 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.

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