Der Anaesthesist
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The sitting position of the patient offers many advantages to the neurosurgeon for operations at the posterior fossa, the upper cervical region, the Gasserian ganglion and the retroganglionic trigeminal root. Air embolism is however one of the greatest dangers during operations in this position. ⋯ But early diagnosis and immediate therapy are of utmost importance. The use of an ultrasonic monitoring device for early diagnosis and the preoperative insertion of a right artrial catheter for immediate aspiration of the air are recommended.
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A rare complication following a dural tap in labour is reported: cerebrospinal fluid was aspirated although a catheter was properly re-inserted into the peridural space. The most successful therapy is proposed.