• Br J Anaesth · Aug 1994

    The sitting position in neurosurgical anaesthesia: a survey of British practice in 1991.

    • R J Elton and R S Howell.
    • Department of Anaesthetics, Walsgrave Hospital, Coventry, West Midlands.
    • Br J Anaesth. 1994 Aug 1; 73 (2): 247-8.

    AbstractA postal survey of 160 members of the Neurosurgical Anaesthetists' Travelling Club was conducted in 1991 to investigate the current use of the sitting position in neurosurgery. There was a 78% response rate; at least one reply was received from every neurosurgical centre in the UK. Patients were placed normally in the sitting position for posterior fossa surgery in eight (20%) of the centres, compared with 19 (53%) in 1981. For posterior cervical spinal surgery, only three (7%) centres routinely used the sitting position, compared with 11 (31%) in 1981. Thus in the period 1981-1991, the number of neurosurgical centres using the sitting position routinely, decreased by more than 50%. Current techniques of ventilation and monitoring for the sitting position are discussed briefly.

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