What is it about?
The semisitting position is very useful to approach complex diseases in deep areas of the brain and better surgical outcomes have been reported in the past using this position. Nonetheless, it has been progressively abandoned in many centers due to the fear of anesthetic important complications. In this paper we present our protocol and our results, showing that a trained team can safely use it and benefit of all the surgical advanteges associated to it with no increased risk for the patient.
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Why is it important?
The application of our protocol minimizes the risk of anesthetic complications and allows a safe use of the semisitting position, with all the surgical advantages associated to it.
Perspectives
The protocol used at our institution has been developed by very expert senior surgeons and anesthetists over decades of operations. It has been transmitted to the youngest generations of surgeons and anesthetists and it is our duty to share it with the neurosurgical community. Our data were prospectively collected in a 3-year period and almost other 3 years have been necessary to analyze all the information we had, in an ongoing exchange between doctors with different specialties and the statistician. The result of all this work, in my opinion, is a very strong and honest study, providing the scientific community a safe tool for complex neurosurgical operations.
Dr. Andrea Saladino
Fondazione IRCCS Fondazione Istituto Neurologico Carlo Besta
Read the Original
This page is a summary of: The semisitting position: analysis of the risks and surgical outcomes in a contemporary series of 425 adult patients undergoing cranial surgery, Journal of Neurosurgery, October 2017, Journal of Neurosurgery Publishing Group (JNSPG),
DOI: 10.3171/2016.8.jns16719.
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