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Anesthesia and Patient Positioning

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Book cover Perioperative Considerations and Positioning for Neurosurgical Procedures

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Abstract

The combination of general anesthesia and positioning, regardless of the surgical procedure, requires careful planning. This chapter examines how general anesthesia provides the necessary environment for safe neurosurgical procedures in all positions. Additionally, this chapter will examine the complications associated with anesthesia and positioning for neurosurgical procedures.

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References

  1. Martin JT. General principles of safe positioning. In: Martin JT, Warner MA, editors. Positioning in anesthesia and surgery. 3rd ed. Philadelphia: W. B. Saunders; 1997. p. 5.

    Google Scholar 

  2. Cheney FW, Domino KB, Caplan RA, Posner KL. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology. 1990;90(4):1062–9.

    Article  Google Scholar 

  3. Stier G, Gabriel CL, Cole DJ. Neurosurgical diseases and trauma of the spine and spinal cord: anesthetic considerations. In: Cottrell J, William Y, editors. Cottrell and Yung’s neuroanesthesia. 5th ed. Philadelphia: Mosby Elsevier; 2010. p. 343–89.

    Chapter  Google Scholar 

  4. Apfelbaum J, Hagberg C, Caplan R, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013;118:251–70.

    Article  PubMed  Google Scholar 

  5. Supine WM. Positions. In: Martin J, Warner M, editors. Positioning in anesthesia and surgery. 3rd ed. Philadelphia: W. B. Saunders; 1997. p. 39.

    Google Scholar 

  6. Brown EM, Elman DS. Postoperative backache. Anesth Analg. 1961;40:683–5.

    CAS  PubMed  Google Scholar 

  7. Wiles JC. Postoperative (pressure) alopecia. J Am Acad Dermatol. 1985;12:195–8.

    Article  CAS  PubMed  Google Scholar 

  8. Courington F, Little DM Jr. The role of posture in anesthesia. Clin Anesth. 1968;3:24–54.

    CAS  PubMed  Google Scholar 

  9. Abel R, Lewis G. Postoperative alopecia. Arch Dermatol. 1960;81:34–42.

    Article  CAS  PubMed  Google Scholar 

  10. Patel K, Henschel E. Postoperative alopecia. Anesth Analg. 1980;59:311–3.

    CAS  PubMed  Google Scholar 

  11. American Society of Anesthesiologists. Task force on the prevention of perioperative. Peripheral neuropathies: practice advisory for the prevention of perioperative peripheral neuropathies. Anesthesiology. 2000;92:1168–82.

    Article  Google Scholar 

  12. Porter J, Pidgeon C, Cunningham A. The sitting position in neurosurgery: a critical appraisal. Br J Anesth. 1999;82:117–28.

    Article  CAS  Google Scholar 

  13. Slbin MS, Babinske M, Maroon JC, Jannetta P. Anaesthetic management of posterior fossa surgery in the sitting position. Acta Anaesthesiol Scand. 1976;20:117–28.

    Article  CAS  PubMed  Google Scholar 

  14. Black S, Cucchiara R. Tumor surgery. In: Cucchiara R, Michenfelder J, editors. Clinical neuroanaesthesia. Edinburg: Churchill Livingstone; 1990. p. 285–308.

    Google Scholar 

  15. Gale T, Leslie K. Anaesthesia for neurosurgery in the sitting position. J Clin Neurosci. 2004;11:693–6.

    Article  CAS  PubMed  Google Scholar 

  16. Ganslandt O, Merkel A, Schmitt H, Tzabazis A. The sitting position in neurosurgery: indications, complications and results. A single institution experience of 600 cases. Acta Neurochir (Wein). 2013;155(10):1887–93.

    Article  Google Scholar 

  17. Hooper A, Okum M, Foote K, Haq IU, Fernandez HH, Hegland D, et al. Venous air embolism in deep brain stimulation. Stereotact Funct Neurosurg. 2009;87(10):1887–93.

    Google Scholar 

  18. Standefer M, Bay J, Trusso R. The sitting position in neurosurgery: a retrospective analysis of 488 cases. Neurosurgery. 1984;14(6):649–58.

    Article  CAS  PubMed  Google Scholar 

  19. Himes B, Grant W, Arnoley S, Pasternak J. Contemporary analysis of the intraoperative and perioperative complications of neurosurgical procedures performed in the sitting position. J Neurosurg. 2017;127(1):182–8.

    Article  PubMed  Google Scholar 

  20. Sandwell S, Kimmell K, Silberstein H, Rodenhouse T, Maurer PK, Pilcher WH, et al. Safety of the sitting cervical position for elective spine surgery. Neurosurgery. 2016;63(CN_suppl_1):203.

    Article  PubMed  Google Scholar 

  21. Gildenberg P, O’Brien P, Brett W, Frost E. The efficach of Doppler monitoring for the detection of venous air embolism. J Neurosurg. 1981;54(1):75–8.

    Article  CAS  PubMed  Google Scholar 

  22. Michenfelder J. Complications during neurosurgery. Anesthesia and the neuromuscular system II. Anesthesiology. 1974;16:17.

    Google Scholar 

  23. Silverman R. Positioning for neurosurgery. In: Ruskin K, Rosenbaum S, Rampil I, editors. Fundamentals of neuroanesthesia: a physiologic approach to clinical practice. New York: Oxford University Press; 2014. p. 279.

    Google Scholar 

  24. Grady M, Bedford R, Park T. Changes in superior sagittal sinus pressure in children with head elevation, jugular venous compression and PEEP. J Neurosurg. 1986;65(2):199–202.

    Article  CAS  PubMed  Google Scholar 

  25. Toung TJ, Miyabe M, McShane AJ, Rogers MC, Traystman RJ. Effect of PEEP and jugular venous compression on canine cerebral blood flow and oxygen consumption in the head elevated position. Anesthesiology. 1988;68(1):53–8.

    Article  CAS  PubMed  Google Scholar 

  26. Smith D. Anesthetic management for posterior fossa surgery. In: Cottrell J, Young W, editors. Cottrell and Young’s neuroanesthesia. 5th ed. Philadelphia: Mosby Elsevier; 2010. p. 204–17.

    Google Scholar 

  27. Rozet I, Vavilala M. Risks and benefits of patient positioning during neurosurgical care. Anesthesiol Clin. 2007;25(3):631.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Martin T. Neuroanesthetic adjuncts for surgery in the sitting posiiton: III. Intravascular electrocardiography. Anesth Analg. 1970;49:588.

    CAS  PubMed  Google Scholar 

  29. Mongan P, Peterson R. Pressure monitoring can accurately position catheters for air embolism aspiration. J Clin Monit. 1992;8(2):121–5.

    Article  CAS  PubMed  Google Scholar 

  30. Cucchiara R, Bowers B. Air embolism in children undergoing suboccipital craniotomy. Anesthesiology. 1982;57(4):338–9.

    Article  CAS  PubMed  Google Scholar 

  31. Bunegin L, Albin M, Hesel P, Hoffman A, Hung TK. Positioning the right atrial catheter. A model for re-appraisal. Anesthesiology. 1981;55(4):343–8.

    Article  CAS  PubMed  Google Scholar 

  32. Cucchiara R, Seward J, Nishimura R, Nugent M, Faust R. Identification of patent foramen ovale during sitting position craniotomy by transesophageal echocardiography with positive airway pressure. Anesthesiology. 1985;63(1):107–9.

    Article  CAS  PubMed  Google Scholar 

  33. Cucchiara R, Nugent M, Steward J, Messick JM. Air embolism in upright neurosurgical ptients: detection and localisation by two-dimensional transesophageal echocardiography. Anesthesiology. 1984;60(4):353–5.

    Article  CAS  PubMed  Google Scholar 

  34. Marshall B. Air embolism in neurosurgical anesthesia; its diagnosis and treatment. Can Anaesth Soc J. 1965;12:255–61.

    Article  CAS  PubMed  Google Scholar 

  35. Adornato D, Gildenberg P, Ferrario C, Ferrario CM, Smart J, Frost EA. Pathophysiology of intravenous air embolism in dogs. Anesthesiology. 1978;49(2):120–7.

    Article  CAS  PubMed  Google Scholar 

  36. Michenfelder J, Martin J, Altenburg B, Rehder K. Air embolism during neurosurgery: an evaluation of right atrial catheters for diagnosis and treatment. JAMA. 1969;208(8):1353–8.

    Article  CAS  PubMed  Google Scholar 

  37. Alvaran S, Toung J, Graff T, Benson DW. Venous air embolism: comparative merits of external cardiac massage, intracardiac aspiration, and left lateral decubitus position. Anesth Analg. 1978;57(2):166–70.

    Article  CAS  PubMed  Google Scholar 

  38. Colley P, Artu A. Bunegin-Albin catheter improves air retrival and resuscitation from lethal venous air embolism in upright dogs. Anesth Analg. 1969;68(3):298–301.

    Google Scholar 

  39. Ericsson J, Gottlieb J, Sweet R. Closed-chest cardiac massage in the treatment of venous air embolism. N Engl J Med. 1964;270:1353–4.

    Article  CAS  PubMed  Google Scholar 

  40. Milde L. The head-elevated positions. In: Martin J, Warner M, editors. Positioning in anesthesia and surgery. W. B. Saunders: Philadelphia; 1997. p. 82.

    Google Scholar 

  41. Albin M. Air embolism. Anesth Clin N Am. 1993;11:1–24.

    Google Scholar 

  42. Albin M, Babinski M, Maroon J, Jannetta P. Anaesthetic management of posterior fossa surgery in the sitting position. Acta Anaesthesiol Scand. 1976;20((2)):117–28.

    Article  Google Scholar 

  43. Voorhies R, Fraser A, Van P. Prevention of air embolism with positive expiratory pressure. Neurosurgery. 1983;12(5):503–6.

    Article  CAS  PubMed  Google Scholar 

  44. Papadopoulos G, Kuhly P, Brock M, Rudolph KH, Link J, Eyrich K. Venous and paradoxical air embolism in the sitting position. A prospective study. Acta Neurochir. 1994;126(2-4):140–3.

    Article  CAS  PubMed  Google Scholar 

  45. Hagan P, Scholz D, Edwards W. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc. 1984;59(1):17–20.

    Article  Google Scholar 

  46. Kitahata L, Katz J. Tension pneumocephalus after posterior-fossa craniotomy, a complication of the sitting position. Anesthesiology. 1976;44(5):448–50.

    Article  CAS  PubMed  Google Scholar 

  47. Toung T, Donham R, Lehner A, Alano J, Campbell J. Tension pneumocephalus after posterior fossa craniotomy: a report of four additional cases and a review of postoperative pneumocephalus. Neurosurgery. 1983;12(2):164–8.

    Article  CAS  PubMed  Google Scholar 

  48. Hitlelberger W, House W. A warning regarding the sitting position for acoustic tumour surgery. Arch Otolaryngol. 1980;106(2):69.

    Article  Google Scholar 

  49. Wilder B. Hypothesis: the etiology of mid-cervical quadriplegia after operration with the patient in the sitting position. Neurosurgery. 1982;11(4):530–1.

    CAS  PubMed  Google Scholar 

  50. Matjasko J, Petrozza P, Cohen M, Steinberg P. Anaesthesia and surgery in the seated position: analysis of 554 cases. Neurosurgery. 1985;17(5):695–702.

    Article  CAS  PubMed  Google Scholar 

  51. Dorland W. Illustrated medical dictionary. Philadelphia: W. B. Saunders; 1981.

    Google Scholar 

  52. Lawson N, Meyer D. Lateral positions. In: Martin J, Warner M, editors. Positioning in anesthesia and surgery. 3rd ed. Philadelphia: W. B. Saunders; 1997. p. 140.

    Google Scholar 

  53. WNE G Jr, DeGroot W, Tanner C, Leonard J. Hemodynamic changes associated with various surgical positions. JAMA. 1963;185:1–5.

    Article  Google Scholar 

  54. Conrady P, Goodman L, Lainge F, Singer M. Alteration of endotracheal tube position: flexion and extension of the neck. Crit Care Med. 1976;4(1):8–12.

    Article  Google Scholar 

  55. McCormick PC. The retropleural approach to the ventral thoracic and thoracolumbar spine. In: Benzel EC, editor. Spine surgery, techniques, complication avoidance and management. Philadelphia: Churchill Livingstone; 1999. p. 293.

    Google Scholar 

  56. Fourney D, Agi-Said D, Rains L, Walsh G, Lang FF, McCutcheon IE, et al. Simultaneous anterior-posterior approach to the thoracic and lumbar spine for the radical resection of tumors followed by reconstructiona and stabilization. J Neurosurg. 2001;94(2 Suppl):232–44.

    CAS  PubMed  Google Scholar 

  57. Mahla M, Horlocker T. Vertebral column and spinal cord surgery. In: Cucchiara R, Black S, Michenfelder J, editors. Clinical neuroanesthesia. 2nd ed. New York: Churchill Livingstone; 1998. p. 434.

    Google Scholar 

  58. Hagberg C, Welch W, Bowman-Howard M. Anesthesia and surgery for spine and spinal cord procedures. In: Albin M, editor. Textbook of neuroanesthesia with neurosurgical and neuroscience perspectives. New York: McGraw-Hill; 1997. p. 1067.

    Google Scholar 

  59. Saito S, Dohi S, Naito H. Alteration of double-lumen endobronchial tube position by flexion and extension of the neck. Anesthesiology. 1985;62(5):696–7.

    Article  CAS  PubMed  Google Scholar 

  60. Araki K, Nomura R, Urushibara R, Hatano Y. Displacement of the double-lumen endobronchial tube can be detected by bronchial cuff pressure change. Anesth Analg. 1997;84(6):1349–53.

    Article  CAS  PubMed  Google Scholar 

  61. Smith G, Hirsch N, Ehrenwerth J. Placement of double-lumen endobronchial tubes. Correlation between clinical impressions and bronchoscopic findings. Br J Anaesth. 1986;58(11):1317–20.

    Article  CAS  PubMed  Google Scholar 

  62. Satho D, Sato M, Kaise A, Hagiwara Y, Saishu T, Hashimoto Y. Effects of isoflurane on oxygenation during one-lung ventilation in pulmonary emphysema patients. Acta Anaesthesiol Scand. 1998;42(10):1145–8.

    Article  Google Scholar 

  63. Slinger P, Scott W. Arterial oxygenation during one-lung ventilation: a comparison of enflurand and isoflurane. Anesthesiology. 1995;82:940–6.

    Article  CAS  PubMed  Google Scholar 

  64. Reid C, Slinger P, Lenis S. A comparison of the effects of propofol-alfentanil versus isoflurane anesthesia on arterial oxygenation during one-lung ventilation. J Cardiothrac Vasc Anesth. 1996;10(7):860–3.

    Article  CAS  Google Scholar 

  65. Brodsky J, Shulman M, Swan M, Mark J. Pulse oximetry during one-lung ventilation. Anesthesiology. 1985;63(2):212–4.

    Article  CAS  PubMed  Google Scholar 

  66. Wen D, Haines S. Posterior fossa: surgical considerations. In: Cottrell J, Smith D, editors. Anesthesia and neurosurgery. 3rd ed. St. Louis: Mosby; 1994. p. 333.

    Google Scholar 

  67. Calliauw L, Rolly G, Rolly G, Verbeke L. The position of the patient during neurosurgical procedures on the posterior fossa. Acta Neurochir. 1987;85(3-4):154–8.

    Article  CAS  PubMed  Google Scholar 

  68. Britt B, Gordon R. Peripheral nerve injuries associated with anesthesia. Can Anaesth Soc J. 1964;11:514–36.

    Article  CAS  PubMed  Google Scholar 

  69. Smith J, Pellicci P, Sharrock N, Mineo R, Wilson PD Jr. Complications after total hip replacement: the contralateral limb. J Bone Joint Surg Am. 1989;71(4):528–35.

    Article  CAS  PubMed  Google Scholar 

  70. Targa L, Droghetti G, Caggese R. Rhabdomyolysis and operating position. Anaesthesia. 1991;46(2):141–3.

    Article  CAS  PubMed  Google Scholar 

  71. Rommel F, Kabler R, Moward J. The crush syndrome: a complication of urological surgery. J Urol. 1986;135(4):809–11.

    Article  CAS  PubMed  Google Scholar 

  72. Clarke A, Stillwell S, Paterson M, Getty C. Role of the surgical position in the development of postoperative low back pain. J Spinal Disord. 1993;6(3):238–41.

    Article  CAS  PubMed  Google Scholar 

  73. Britt B, Joy J, Mackay M. Positioning trauma. In: Orkin F, Cooperman L, editors. Complications in anesthesiology. Philadelphia: J.B. Lippincott; 1983.

    Google Scholar 

  74. Jaffe T, McLesky C. Position induced Horner’s syndrome. Anesthesiology. 1982;56(1):49–50.

    Article  CAS  PubMed  Google Scholar 

  75. Katayama T, Katou F, Motegi K. Unilateral parotid swelling after general anesthesia. J Craniomaxillofac Surg. 1990;18(5):229–32.

    Article  CAS  PubMed  Google Scholar 

  76. Kimura H, Watanabe Y, Mizukoshi K, Yamamoto Y, Araki S. Six cases of anesthesia mumps. Nippon Jibinkoka Gakkai Kaiho. 1993;96(11):1915–21.

    Article  CAS  Google Scholar 

  77. Cuschieri A. Thorascopic subtotal oesophagectomy. Endo Surg Allied Tech. 1994;2(1):21–5.

    CAS  Google Scholar 

  78. Gothard J, Branthwaite M. Principles of anesthesia for thoracic surgery. In: Gothard J, Branthwaite M, editors. Anesthesia for thoracic surgery. Oxford: Blackwell Scientific; 1982.

    Google Scholar 

  79. Kopoll H, Thompson W. Suprascapular nerve. In: Thompson W, editor. Peripheral entrapment neuropathies. New York: Krieger; 1976.

    Google Scholar 

  80. Edgcombe H, Carter K, Yarrow S. Anesthesia in the prone position. Br J Anesth. 2008;100(2):165–83.

    Article  CAS  Google Scholar 

  81. Eker A. Kneeling position for operations on the lumbar spine. Surgery. 1949;25(1):112.

    Google Scholar 

  82. The MJ. Ventral decubitus (prone) positions. In: Martin J, Warner M, editors. Positioning in aesthesia and surgery. 3rd ed. Philadelphia: W. B. Saunders; 1997. p. 172.

    Google Scholar 

  83. Lesser R, Raudzens P, Luders H, Nuwer MR, Goldie WD, Morris HH, et al. Postoperative neurologic deficits may occur despite unchanged intraoperative somatosensory evoked potentials. Ann Neurol. 1986;19(1):22–5.

    Article  CAS  PubMed  Google Scholar 

  84. Edmonds H, Paloheimo M, Backman M, Johnson JR, Holt RT, Shields CB. Transcranial magnetic motor evoked potentials for functional monitoring of motor pathways during scoliosis surgery. Spine. 1989;14(7):683–6.

    Article  PubMed  Google Scholar 

  85. Diaola M, DiPaola C, Conrad B, Horodyski M, Horodyski M, Del Rossi G, et al. Cervical spine motion in manual versus Jackson table turning methods in a cadaveric global instability model. J Spinal Disord Tech. 2008;21(4):273–80.

    Article  Google Scholar 

  86. Calder I, Calder J, Crockard H. Difficult direct laryngoscopy with cervical spine disease. Anaesthesia. 1995;50(9):756–63.

    Article  CAS  PubMed  Google Scholar 

  87. Williams A, Singh G. Tongue bite injury after use of transcranial electric stimulation motor-evoked potential monitoring. J Anaesthesiol Clin Pharmacol. 2014;30(3):439–40.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Raw D, Beattie J, Hunter J. Anaesthesia for spinal surgery in adults. Br J Anaesth. 2003;91:886–904.

    Article  CAS  PubMed  Google Scholar 

  89. Abbott T, Bentley G. Intraoperative awakening during scoliosis surgery. Anaesthesia. 1980;35(3):298–302.

    Article  Google Scholar 

  90. Black S, Ockert D, Oliver W, Cucchiara RF. Outcome following posterior fossa craniotomy in patients in the sitting or horizontal positions. Anesthesiology. 1988;69(1):49–56.

    Article  CAS  PubMed  Google Scholar 

  91. Albin M, Carroll R, Maroon J. Clinical considerations concerning detection of venous air embolism. Neurosurgery. 1978;3(3):380–4.

    Article  CAS  PubMed  Google Scholar 

  92. Artru A, Cucchiara R, Messick J. Cardiorespiratory and cranial nerve sequelae of surgical porcedures involving the posterior fossa. Anesthesiology. 1980;52(1):83–6.

    Article  CAS  PubMed  Google Scholar 

  93. Howard R, Mahoney A, Thurlow A. Respiratory obstruction after posterior fossa surgery. Anaesthesia. 1990;45(3):222–4.

    Article  CAS  PubMed  Google Scholar 

  94. Gould DB, Cunningham K. Internal carotid artery dissection after remote surgery. Iatrogenic complications of anesthesia. Stroke. 1995;25:1276–8.

    Article  Google Scholar 

  95. Wang L, Liou J, Liu FC, Hsu JC, Liu PW. Fatal ischemia stroke in a patient with an asymptomatic carotid artery occlusion after lumbar spine surgery—a case report. Acta Anaesthesiol Taiwanica. 2004;42(3):179–82.

    Google Scholar 

  96. Chu Y, Tsai S, Chan K, Kao S, Liang C, Lin S. Lateral medullary syndrome after prone position for general surgery. Anesth Analg. 2002;95:1451–3.

    Article  PubMed  Google Scholar 

  97. Langmayr J, Ortler M, Obwegeser A, Felber S. Quadriplegia after lumbar disc surgery. A case report. Spine. 1996;21:1932–5.

    Article  CAS  PubMed  Google Scholar 

  98. Tettenborn B, Caplan L, Sloan M, Estol CJ, Pessin MS, DeWitt LD, et al. Postoperative brainstem and cerebellar infarcts. Neurology. 1993;43:471–7.

    Article  CAS  PubMed  Google Scholar 

  99. Shermak M, Shoo B, Deune E. Prone positioning precautions in plastic surgery. Plast Reconstr Surg. 2006;117(5):1584–8.

    Article  CAS  PubMed  Google Scholar 

  100. Bhard A, Long D, Ducker T, Toung T. Neurologic deficits after cervical laminectomy in the prone position. J Neurosurg Anesthesiol. 2001;13(4):314–9.

    Article  Google Scholar 

  101. Deem S, Shapiro H, Marshall L. Quadriplegia in a patient with cervical spondylosis after thorocolumbar surgery in the prone position. Anesthesiology. 1991;75(3):527–8.

    Article  CAS  PubMed  Google Scholar 

  102. Turker R, Slack D, Regan Q. Thoracic paraplegia after lumbar spinal surgery. J Spinal Disord. 1995;8:195–200.

    Article  CAS  PubMed  Google Scholar 

  103. Elmaci I, Ain M, Wright M, Lee RR, Sheppard JM, Rigamonti D, et al. Perioperative intracranial hemorrhage in achondroplasia: a case report. J Neurosurg Anesthesiol. 2000;12(3):217–20.

    Article  CAS  PubMed  Google Scholar 

  104. Chandra P, Jaiswal A, Mahapatra AK. Bifrontal epidural haematomas following surgery for occipital falcine meningioma: an unusual complication of surgery in the prone position. J Clin Neurosci. 2002;9:582–4.

    Article  PubMed  Google Scholar 

  105. Olympio M, Wo B. Venous air embolism after craniotomy closure: tension pneumocephalus implicated. J Neurosurg Anesthesiol. 1994;6:35–9.

    Article  CAS  PubMed  Google Scholar 

  106. Wronski M, Ferber J, Wronski J. Acute tension pneumocephalus as a complication of surgical procedures of the posterior cranial fossa in prone position. Neurol Neurochir Pol. 1987;21:167–70.

    CAS  PubMed  Google Scholar 

  107. Prabhakar H, Bithal P, Ghosh IDH. Pneumocchachis presenting as quadriplegia following surgery in the prone position. Br J Anaesth. 2006;97:901–3.

    Article  CAS  PubMed  Google Scholar 

  108. Rau C, Liang C, Lui C, Lee T, Lu K. Quadriplegia in a patient who underwent posterior fossa surgery in the prone position. A case report. J Neurosurg. 2002;96:101–3.

    PubMed  Google Scholar 

  109. Chen S, Hui Y, Yu C, Niu C, Niu CC, Lui PW. Paraplegia by acute cervical disc protrusion after lumbar spine surgery. Chang Gung Med J. 2005;28:254–7.

    PubMed  Google Scholar 

  110. Valls P, Naul L, Kanter S. Paraplegia after a routine lumbar laminectomy: report of a rare complication and successful. Neurosurgery. 1990;27:638–40.

    Article  CAS  PubMed  Google Scholar 

  111. Kim C, Blank J, McClain B. Transient paraparesis after general anesthesia in a patient in the prone position. Anesthesiology. 1994;81:775–7.

    Article  CAS  PubMed  Google Scholar 

  112. Gercek A, Konya D, Babayev R, Ozgen S. Delayed recovery from general anesthesia from intracranial tumor. Anesth Analg. 2007;104:235–6.

    Article  PubMed  Google Scholar 

  113. Van Aken H, Scherer R, Lawin P. A rare intra-operative complication in a child with von Recklinghausen’s neurofibromatosis. Anaesthesia. 1982;37:827–9.

    Article  PubMed  Google Scholar 

  114. Winfree C, Kline D. Intraoperative positioning nerve injuries. Surg Neurol. 2005;63:5–18.

    Article  PubMed  Google Scholar 

  115. Schwartz D, Drummond D, Hahn M, Ecker M, Dormans J. Prevention of positional brachial plexopathy during surgical correction of scoliosis. J Spinal Disord. 2000;13(2):178–82.

    Article  CAS  PubMed  Google Scholar 

  116. Jackson L, Keats A. Mechanism of brachial plexus palsy following anesthesia. Anesthesiology. 1965;26:190–4.

    Article  CAS  PubMed  Google Scholar 

  117. Anderton J, Schady W, Markham D. An unusual cause of postoperatie brachial plexus palsy. Br J Anaesth. 1994;72:605–7.

    Article  CAS  PubMed  Google Scholar 

  118. Gwinnutt C. Injury to the axillary nerve. Anaesthesia. 1988;43:529.

    Article  Google Scholar 

  119. Abbott K, Nesathurai S. Musculocutaneous nerve palsy following traumatic spinal cord injury. Spinal Cord. 1998;36(8):588–90.

    Article  CAS  PubMed  Google Scholar 

  120. Parks B. Postoperative peripheral neuropathies. Surgery. 1973;74(3):348–57.

    CAS  PubMed  Google Scholar 

  121. Schmidt C, Lincoln J. Peripheral nerve injuries with anesthesia: a review and report of three cases. Anesth Analg. 1966;45:748–53.

    Article  CAS  PubMed  Google Scholar 

  122. Winter R, Munro M. Lingual and buccal nerve neuropathy in a patient in the prone position: a case report. Anesthesiology. 1989;71(3):452–4.

    Article  CAS  PubMed  Google Scholar 

  123. Wolfe S, Lospinuso M, Burke S. Unilateral blindness as a complication of patient positioning for spinal surgery. A case report. Spine. 1992;17(5):600–5.

    Article  CAS  PubMed  Google Scholar 

  124. Hollenhorst R, Svien H, Benoit C. Unilateral blindness occurring during anesthesia for neurosurgical operations. AMA Arch Opthalmol. 1954;52(6):819–30.

    Article  CAS  Google Scholar 

  125. Wakeno M, Sakamoto S, Asai T, Hirose T, Shingu K. A case of diaphragmatic paralysis in a patient with diabetes mellitus after surgery in prolonged prone position. Masui. 2001;50(9):1019–21.

    CAS  PubMed  Google Scholar 

  126. Ono S, Nishiyama T, Hanaoka K. Harseness after endotracheal intubation caused by submucosal hemorrage of the vocal cord and recurrent nerve palsy. Masui. 2000;49(8):881–3.

    CAS  PubMed  Google Scholar 

  127. Hofmann A, Jones R. Pudendal-nerve neuropraxia as a result of traction on the fracture table. A report of four cases. J Bone Joint Surg Am. 1982;64(1):136–8.

    Article  CAS  PubMed  Google Scholar 

  128. Anderton J. The prone position for the surgical patient: a historical review of the principles and hazards. Br J Anaesth. 1991;67(4):452–63.

    Article  CAS  PubMed  Google Scholar 

  129. Drummond J. Macroglossia, deja vu. Anesth Analg. 1999;89(2):534–5.

    CAS  PubMed  Google Scholar 

  130. Jain V, Bithal P, Rath G. Pressure sore on malar prominences by horseshoe headrest in prone position. Anaesth Intensive Care. 2007;35(2):304–5.

    CAS  PubMed  Google Scholar 

  131. Moore D, Edmunds L. Prone position frame. Surgery. 1950;27:276–9.

    CAS  PubMed  Google Scholar 

  132. Ray C. New kneeling attachment and cushoned face rest for spinal surgery. Neurosurgery. 1987;20(2):266–9.

    Article  CAS  PubMed  Google Scholar 

  133. Roth S, Tung A, Ksiazek S. Visual loss in a prone-positioned spine surgery patient with the head on a foam headrest and goggles covering the eyes: an old complication witha new mechanism. Anesth Analg. 2007;104(5):1185–7.

    Article  PubMed  Google Scholar 

  134. Smith R. One solution to the problem of the prone position for surgical procedures. Anesth Analg. 1976;53(2):221–4.

    Google Scholar 

  135. Weis K. Threatening necrosis of the tip of the tongue during long-term anaesthesia in the prone position. Der Anaesthetist. 1964;13:241.

    CAS  Google Scholar 

  136. Jericho B, Skaria G. Contact dermatitis after the use of the PronePositione. Anesth Analg. 2003;97:1381–95.

    Article  Google Scholar 

  137. Bagshaw O, Jardine A. Cardiopulmonary complications during anesthesia and surgery for severe lordoscoliosis. Anaesthesia. 1995;50(10):890–2.

    Article  CAS  PubMed  Google Scholar 

  138. Kai Y, Yamaoka A, Zaitsu A, Takahashi S. Transient tracheal obstruction during surgical correction of scoliosis in a patient with Marfan’s. Masui. 1995;44:868–73.

    CAS  PubMed  Google Scholar 

  139. Mesrobian R, Epps J. Midtracheal obstruction after Harrington rod placement in a patient with Marfan’s syndrome. Anesth Analg. 1986;65(4):411–3.

    Article  CAS  PubMed  Google Scholar 

  140. Rittoo D, Morris P. Tracheal occlusion in the prone position in an intubated patient with Duchenne muscular dystrophy. Anaesthesia. 1995;50(8):719–21.

    Article  CAS  PubMed  Google Scholar 

  141. Hans P, Demoitie J, Collignon L, Bex V, Bonhomme V. Acute bilateral submandibular swelling following surgery in prone position. Eur J Anaesthesiol. 2006;23:83–4.

    Article  CAS  PubMed  Google Scholar 

  142. Ali A, Breslin D, Hardman H, Martin G. Unusual presentation and complication of the prone position for spinal surgery. J Clin Anesth. 2003;15(6):471–3.

    Article  PubMed  Google Scholar 

  143. Sutterlin C, Rechtine G. Using the Heffington frame in elective lumbar spinal surgery. Orthop Rev. 1988;17:597.

    CAS  PubMed  Google Scholar 

  144. Pivalizza E, Katz J, Singh S, Liu W, Liu W, McGraw-Wall B. Massive macroglossia after posterior fossa surgery in the prone position. J Neurosurg Anesthesiol. 1998;10(1):34–6.

    Article  CAS  PubMed  Google Scholar 

  145. Sinha A, Agarwal A, Gaur A, Pandey C. Oropharyngeal swelling and macroglossia after cervical spine surgery in the prone position. J Neurosurg Anesthesiol. 2001;13(3):237–9.

    Article  CAS  PubMed  Google Scholar 

  146. Tsung Y, Wu C, Hsu C, Yeh C, Lin S, Wong CS. Macroglossia after posterior fossa surgery in the prone position—a case report. Acta Anaesthesiol Taiwanica. 2006;44:43–6.

    Google Scholar 

  147. Teoh D, Williams D. Adult Klippel-Feil syndrome: haemodynamic instability in the prone position and postoperative respiratory failure. Anaesth Intensive Care. 2007;35(1):124–7.

    CAS  PubMed  Google Scholar 

  148. Alexianu D, Skolnick E, Pinto A, Ohkawa S, Roye DP Jr, Solowiejczyk DE, et al. Severe hypotension in the prone position in a child with neurofibromatosis, scoliosis and pectus excavatum presenting for posterior spinal fusion. Anesth Analg. 2004;98(2):334–5.

    Article  PubMed  Google Scholar 

  149. Weinlander C, Coombs D, Plume S. Myocardial ischemia due to obstruction of an aortocoronary bypass graft by intraoperative positioning. Anesth Analg. 1985;64:933–6.

    Article  CAS  PubMed  Google Scholar 

  150. Hiraga Y, Maruoka H, Yamamoto M. Compression of the graft during corrective surgery for scoliosis in a patient who has undergone a Rastelli’s operation: a case study. Masui. 1992;41(9):1490–3.

    CAS  PubMed  Google Scholar 

  151. Yuen M, Chow B, Irwin M. Severe hypotension and hepatic dysfunction in a patient undergoing scoliosis surgery in the prone position. Anaesth Intensive Care. 2005;33(3):393–9.

    CAS  PubMed  Google Scholar 

  152. Ziser A, Friedhoff R, Rose S. Prone position: visceral hypoperfusion and rhabdomyolysis. Anesth Analg. 1996;82(2):412–5.

    CAS  PubMed  Google Scholar 

  153. Orpen N, Walker G, Fairlie N, Coghill S, Birch N. Avascular necrosis of the femoral head after surgery for lumbar spinal stenosis. Spine. 2003;28(18):E364–7.

    Article  PubMed  Google Scholar 

  154. Aschoff A, Steiner-Milz H, Steiner H. Lower limb compartment syndrome following lumbar discectomy in the knee-chest position. Neurosurg Rev. 1990;13(2):155–9.

    Article  CAS  PubMed  Google Scholar 

  155. Geisler FH, Laich DT, Goldflies M, Shepard A. Anterior tibila compartment syndrome as a positionig complication of the prone-sitting position for lumbar surgery. Neurosurgery. 1993;33:1117.

    CAS  PubMed  Google Scholar 

  156. Gordon B, Newman W. Lower nephron syndrome following prolonged knee-chest position. J Bone Joint Surg Am. 1953;35:764–8.

    Article  PubMed  Google Scholar 

  157. Keim HA, Weinstein JD. Acute renal failure—a complication of spine fusion in the tuck positional a case report. J Bone Joint Surg Am. 1970;52:1248–50.

    Article  CAS  PubMed  Google Scholar 

  158. Kuperwasser B, Zaid B, Ortega R. Compartment syndrome after spinal surgery and use of the Codman frame. Anesthesiology. 1995;82(3):793.

    Article  CAS  PubMed  Google Scholar 

  159. Cruette D, Navarre M, Pinaquy C, Siméon F. Rhabdomyolysis after prolonged knee-chest position. Ann Fr Anesth Reanim. 1986;5:67–9.

    Article  CAS  PubMed  Google Scholar 

  160. Foster M. Rhabdomyolysis in lumbar spine surgery: a case report. Spine. 2003;28(1):67–9.

    Google Scholar 

  161. Prabhu M, Samra S. An unusual cause of rhabdomyolysis following surgery in the prone position. J Neurosurg Anesthesiol. 2000;12:359–63.

    Article  CAS  PubMed  Google Scholar 

  162. Chang S, Miller N. The incidence of vision loss due to perioperative ischemic optic neuropathy associated with spine surgery: the Johns Hopkins Hospital experience. Spine. 2005;30(11):1299–302.

    Article  PubMed  Google Scholar 

  163. Patil C, Lad E, Lad S, Ho C, Boakye M. Visual loss after spine surgery: a population-based study. Spine. 2008;33(13):1491–6.

    Article  PubMed  Google Scholar 

  164. Roth S, Barach P. Postoperative visual loss: still no answers—yet. Anesthesiology. 2001;95:575–7.

    Article  CAS  PubMed  Google Scholar 

  165. Shen Y, Drum M, Roth S. The prevalence of perioperative visual loss in the United States: a 10-year study from 1996 to 2005 of spinal, orthopedic, cardiac, and general surgery. Anesth Analg. 2009;109(5):1534–45.

    Article  PubMed  Google Scholar 

  166. Stevens W, Glazer P, Kelley S, Lietman T, Lietman TM, Bradford DS. Opthalmic complications after spinal surgery. Spine. 1997;22(12):1319–24.

    Article  CAS  PubMed  Google Scholar 

  167. Ho V, Newman N, Song S, Ksiazek S, Roth S. Ischemic optic neuropathy following spine surgery. J Neurosurg Anesthesiol. 2005;17(1):38–44.

    PubMed  PubMed Central  Google Scholar 

  168. Kamming D, Clarke S. Postoperative visual loss following prone spinal surgery. Br J Anaesth. 2005;95:257–60.

    Article  CAS  PubMed  Google Scholar 

  169. Grossman W, Ward W. Central retinal artery occlusion after scoliosis surgry with a horshoe headrest. Case report and literature review. Spine. 1983;18(9):1226–8.

    Article  Google Scholar 

  170. Halfon M, Bonardo P, Valiensi S, Zaffaroni MC, Pardal MMF, Ayerza DR, et al. Central retinal artery occlusion and opthalmoplegia following spinal surgery. Br J Opthalmol. 2004;88(10):1350–2.

    Article  CAS  Google Scholar 

  171. Kumar N, Jivan S, Topping N. Blindness and rectus muscle damage following spinal surgery. Am J Opthalmol. 2004;138(5):889–91.

    Article  Google Scholar 

  172. West J, Askin G, Clarke VS. Loss of vision in one eye following scoliosis surgery. Br J Opthalmol. 1990;74(4):243–4.

    Article  CAS  Google Scholar 

  173. Anand S, Mushin A. Cavernous sinus thrombosis following prone position anaesthesia. Eye. 2005;19(7):803–4.

    Article  CAS  PubMed  Google Scholar 

  174. Greenberg R, Tymms A. Alert for perioperative visual loss: an unusual presentation of an orbital haemangioma during spinal surgery. Anaesth Intensive Care. 2003;31(6):679–82.

    CAS  PubMed  Google Scholar 

  175. Leibovich I, Casson R, Laforest C, Selva D. Ischemic orbital compartment syndrome as a complication of spinal surgery in the prone position. Opthalmology. 2006;113(1):105–8.

    Article  Google Scholar 

  176. Gordon-Bennett P, Ung T, Stephenson C, McClelland HK, Claoué C. Misdiagnosis of angle closure glaucoma. Br Med J. 2006;333:1157.

    Article  Google Scholar 

  177. Yang Y, Lee Y, Lai H. Nontraumatic subperiosteal orbital haemorrhage in an anaesthetised patient with surgery in the prone position. Anaesth Intensive Care. 2007;35:1–158.

    Google Scholar 

  178. Katzman S, Moschonas C, Dzioba R. Amaurosis secondary to massive blood loss after lumbar spine surgery. Spine. 1994;14(4):468–9.

    Article  Google Scholar 

  179. Kiran S, Gombar SCB, Gombar K. Another hazard of the prone position. Anesth Analg. 1997;85:949.

    Article  CAS  PubMed  Google Scholar 

  180. Caricato A, Pennisi M, Pappalardo F, Iodice F, Lepore D. Bilateral fixed mydriasis reversible during orthopedic surgery in the prone position. Anesthesiology. 1999;90(6):1777–8.

    Article  CAS  PubMed  Google Scholar 

  181. Shriver M, Zeer V, Alentado V, Mroz TE, Benzel EC, Steinmetz MP. Lumbar spine surgery positioning complications: a systematic review. Neurosurg Focus. 2015;39(4):E16.

    Article  PubMed  Google Scholar 

  182. Edge G. Positioning in anesthesia & surgery. Anaesthesia. 1998;53(1):102–3.

    Article  Google Scholar 

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  1. Medical Anesthesia Group, Germantown, TN, USA

    C. Wayne Hamm

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  1. Semmes-Murphey Neurologic and Spine Clinic, Memphis, Tennessee, USA

    Adam Arthur

  2. Semmes-Murphey Neurologic and Spine Clinic, Memphis, Tennessee, USA

    Kevin Foley

  3. Medical Anesthesia Group, Germantown, Tennessee, USA

    C. Wayne Hamm

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Wayne Hamm, C. (2018). Anesthesia and Patient Positioning. In: Arthur, A., Foley, K., Hamm, C. (eds) Perioperative Considerations and Positioning for Neurosurgical Procedures. Springer, Cham. https://doi.org/10.1007/978-3-319-72679-3_3

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