Perioperative Considerations and Positioning for Neurosurgical Procedures : A Clinical Guide / edited by Adam Arthur, Kevin Foley, C. Wayne Hamm.

Format:

Book

Contributor:

Arthur, Adam, editor.

Foley, Kevin, editor.

Hamm, C. Wayne, editor.

SpringerLink (Online service)

Language:

English

Subjects (All):

Medicine.

Anesthesiology.

Nervous system--Surgery.

Nervous system.

Medicine & Public Health.

Neurosurgery.

Local Subjects:

Medicine & Public Health.

Neurosurgery.

Anesthesiology.

Physical Description:

1 online resource (XIX, 287 p)

Contained In:

Springer eBooks

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2018.

System Details:

text file PDF

Summary:

There are relationships that exist between neuroanesthesia, neurosurgical procedures, individual patient pathology and the positioning of a patient for said procedure. A comprehensive examination of these relationships, their association with patient morbidity/mortality and how to approach these issues in an evidence-based manner has yet to become available. Positioning related injuries have been documented as major contributors to neurosurgical/neuroanesthesiology liability. This text examines these relationships. It provides considerations necessary to the correct positioning of a patient for a neurosurgical procedure for each individual patient and their individual pathology. In other words, this text will demonstrate how to construct the necessary surgical posture for the indicated neurosurgical procedure given the individual constraints of the patient within the environment of anesthesia and conforming to existing evidence-based practice guidelines. Sections will address physiological changes inherent in positioning in relation to anesthesia for neurosurgical procedures, assessment of patient for planned procedure, as well as considerations for managing problems associated with these relationships. Additional sections will examine the relationship between neurosurgical positioning and medical malpractice and the biomechanical science between positioning devices and neurosurgical procedures. Neurosurgery and its patient population are in a constant state of change. Providing the necessary considerations for the neurosurgical procedure planned under the anesthesia conditions planned in the position planned, often in the absence of multicase study literary support, without incurring additional morbidity is the goal of this text.

Contents:

Positioning Patients for Neurosurgical Procedures, A Historical Perspective

Biomechanics and the Mathematics of Positioning

Anesthesia and Patient Positioning

Preoperative Assessment of the Patient for the Planned Position

Organization of the Operating Room for Neurosurgical Procedures

Overall Positioning Considerations for Intracranial Procedures

Intracranial Procedures in the Supine, Semi-Sitting and Sitting Positions

Intracranial Procedures in the Lateral Position

Intracranial Procedures in the Prone Position

Spinal Surgery Positioning Overview

The Supine, Sitting, and Lithotomy Positions

Spinal Procedures in the Lateral Position

Spinal Procedures in the Prone Position

Special Considerations in Positioning for Neurosurgical Tumors: Spinal

Special Considerations for Intracranial Tumors

Special Considerations for Pediatric Positioning for Neurosurgical Procedures

Co-Morbidities and Positioning: Morbid Obesity and Multiple Trauma

Co-morbidities and Positioning: Pregnancy

Post Operative Positioning in the Neurointensive Care Unit

Differential Diagnosis, Treatment and Prognosis of Peripheral Nerve Injuries Associated with Neurosurgical Procedures

Legal Issues in Patient Positioning.

Other Format:

Printed edition:

ISBN:

9783319726793

Access Restriction:

Restricted for use by site license.