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.
PREFACE
FOREWORD
CONTENTS
1. Positioning Patients for Neurosurgical Procedures, A Historical Perspective
Mallory Roberts and Jon. H. Robertson
2. Biomechanics and the Mathematics of Positioning
George F Young
3. Anesthesia and Patient Positioning
C. Wayne Hamm
4. Preoperative Assessment of the Patient for the Planned Position
C. Wayne Hamm and Jaafar Basma
5. Organization of the Operating Room for Neurosurgical Procedures
Jaafar Basma and Daniel Hoit
6. Overall Positioning Considerations for Intracranial Procedures
Adam S. Arthur
7. Intracranial Procedures in the Supine, Semi-Sitting and Sitting Positions
Jaafar Basma, Vincent Nguyen, and Jeffrey Sorenson
8. Intracranial Procedures in the Lateral Position
L. Madison Michael II and Douglas R. Taylor
9. Intracranial Procedures in the Prone Position
Mirza Pojskicand Kenan I. Arnautovic
10. Spinal Surgery Positioning Overview
Kevin T. Foley
11. The Supine, Sitting, and Lithotomy Positions
Shaheryar F Ansari and Jean-Pierre Mobasser
12. Spinal Procedures in the Lateral Position
Matthew T. Brown, Raul Cardenas, and Julius Fernandez
13. Spinal Procedures in the Prone Position
Prayash Patel and Christopher Nickele
14. Special Considerations in Positioning for Neurosurgical Tumors: Spinal
Jason Weaver
15. Special Considerations for Intracranial Tumors
Pascal O. Zinn and Ganesh Rao
16. Special Considerations for Pediatric Positioning for Neurosurgical Procedures
Michael DeCuypere
17. Co-Morbidities and Positioning: Morbid Obesity and Multiple Trauma
Emily P. Sieg, and Shelly D. Timmons
18. Co-morbidities and Positioning: Pregnancy
Thomas Scott Guyton
19. Post Operative Positioning in the Neurointensive Care Unit
Abhi Pandhi and Lucas Elijovich
20. Differential Diagnosis, Treatment and Prognosis of Peripheral Nerve Injuries Associated with Neurosurgical Procedures
Nickalus R. Khan and Michael S. Muhlbauer
21. Legal Issues in Patient Positioning
Emily Hamm Huseth “Perioperative Considerations and Positioning for Neurosurgical Procedures: A Clinical Guide … aims to serve as the authoritative textbook regarding the positioning and preoperative assessment of the neurosurgical patient. … The aforementioned text is intended for neurosurgical practitioners of all ages and skill levels, but would best be set on a reference bookshelf in a neurosurgical resident call room. The strengths of this book include its accessibility/easy prose, the numerous pearls about positioning for surgical procedures, and the instructive photographs contained within.” (David P. Bray, Operative Neurosurgery, Vol. 17 (1), July, 2019)
Adam S. Arthur MD MPH FAANS FAHA FACS
Professor of Neurosurgery
University of Tennessee Health Sciences Center
Semmes-Murphey Neurological and Spine Clinic
Memphis, TN
USA
Kevin T. Foley, MD, FACS
Professor of Neurosurgery, Orthopaedic Surgery, & Biomedical Engineering
University of Tennessee Health Science Center
Chairman, Semmes-Murphey Clinic
Memphis, TN
USA
C. Wayne Hamm CRNA, MSN, APN
Germantown, TN
USA
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.
Provides considerations necessary to the correct positioning of a patient for a neurosurgical procedure
Written by experts in the field
Demonstrates how to construct the necessary surgical posture for the indicated neurosurgical procedure given the individual constraints of the patient
