573
Views
4
CrossRef citations to date
0
Altmetric
Review Article

A practical guide to patient position and complication management in neurosurgery: a systematic qualitative review

ORCID Icon, , , , , , , , & show all
Pages 583-593 | Received 28 Jun 2021, Accepted 14 Oct 2021, Published online: 02 Nov 2021

References

  • Cheney FW, Domino KB, Caplan RA, Posner KL. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology 1999;90:1062–9.
  • St-Arnaud D, Paquin MJ. Safe positioning for neurosurgical patients. Aorn J 2008;87:1156–68.
  • Knight DJ, Mahajan RP. Patient positioning in anesthesia. Contin Educ Anaesth Crit Care Pain 2004;4:160–3.
  • Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71.
  • Duffy BJ, Tubog TD. The prevention and recognition of ulnar nerve and brachial plexus injuries. J Perianesth Nurs 2017;32:636–49.
  • Esquivel-Enríquez P, Pérez-Neri I, Manrique-Carmona L. ¿La posición neuroquirúrgica ocasiona lesión de nervio periférico? [Neurosurgical position causes peripheral nerve injuries?]. Cir Cir 2017;85:493–8.
  • Dunk AM, Carville K. The international clinical practice guideline for prevention and treatment of pressure ulcers/injuries. J Adv Nurs 2016;72:243–4.
  • Rozet I, Vavilala MS. Risks and benefits of patient positioning during neurosurgical care. Anesthesiol Clin 2007;25:631–53.
  • Parks BJ. Postoperative peripheral neuropathies. Surgery 1973;74:348–57.
  • Toole JF. Effects of change of head, limb and body position on cephalic circulation. N Engl J Med 1968;279:307–11.
  • Brockerville M, Venkatraghavan L, Manninen P. Macroglossia in neurosurgery. J Neuroanaesthesiol Crit Care 2017;4:78–84.
  • Hanazaki M, Yokoyama M, Morita K, Kobayashi N. A case of severe postoperative airway edema induced by hyperflexion of the neck. J Anesth 2008;22:481–2.
  • Argalious MY. The cuff leak test: does it "leak" any information? Respir Care 2012;57:2136–7.
  • Himes BT, Mallory GW, Abcejo AS, et al. Contemporary analysis of the intraoperative and perioperative complications of neurosurgical procedures performed in the sitting position. J Neurosurg 2017;127:182–8.
  • Isabel G, Fabregas N. Craniotomy in sitting position: anesthesiology management. Curr Opin Anaesthesiol 2014;27:474–83.
  • Feigl GC, Decker K, Wurms M, et al. Neurosurgical procedures in the semisitting position: evaluation of the risk of paradoxical venous air embolism in patients with a patent foramen ovale. World Neurosurg 2014;81:159–64.
  • Lumb AB, Nunn JF. Respiratory function and ribcage contribution to ventilation in body positions commonly used during anesthesia. Anesth Analg 1991;73:422–6.
  • Dallier F, Di Roio C. Sitting position for pineal surgery: some anaesthetic considerations. Neurochirurgie 2015;61:164–7.
  • Saladino A, Lamperti M, Mangraviti A, et al. The semisitting position: analysis of the risks and surgical outcomes in a contemporary series of 425 adult patients undergoing cranial surgery. J Neurosurg 2017;127:867–76.
  • Kyttä J, Randell T, Tanskanen P, Kajimoto Y, Rosenberg PH. Monitoring lung compliance and end-tidal oxygen content for the detection of venous air embolism. Br J Anaesth 1995;75:447–51.
  • Fathi AR, Eshtehardi P, Meier B. Patent foramen ovale and neurosurgery in sitting position: a systematic review. Br J Anaesth 2009;102:588–96.
  • Perkins-Pearson NA, Marshall WK, Bedford RF. Atrial pressures in the seated position: implication for paradoxical air embolism. Anesthesiology 1982;57:493–7.
  • Toung TJ, McPherson RW, Ahn H, Donham RT, Alano J, Long D. Pneumocephalus: effects of patient position on the incidence and location of aerocele after posterior fossa and upper cervical cord surgery. Anesth Analg 1986;65:65–70.
  • Mirski MA, Lele AV, Fitzsimmons L, Toung TJ. Diagnosis and treatment of vascular air embolism. Anesthesiology 2007;106:164–77.
  • Leach RM, Rees PJ, Wilmshurst P. Hyperbaric oxygen therapy. BMJ 1998;317:1140–3.
  • Safdarian M, Safdarian M, Chou R, Hashemi SMR, Rahimi-Movaghar V. A systematic review about the position-related complications of acoustic neuroma surgery via suboccipital retrosigmoid approach: sitting versus lateral. Asian J Neurosurg 2017;12:365–73.
  • Dilmen OK, Akcil EF, Tureci E, et al. Neurosurgery in the sitting position: retrospective analysis of 692 adult and pediatric cases. Turk Neurosurg 2011;2:634–40.
  • Dabdoub CB, Salas G, Silveira Edo N, Dabdoub CF. Review of the management of pneumocephalus. Surg Neurol Int 2015;6:155.
  • Vacca VM. Pneumocephalus assessment and management. Nurs Crit Care 2017;12:24–9.
  • Ellis SC, Bryan-Brown CW, Hyderally H. Massive swelling of the head and neck. Anesthesiology 1975;42:102–3.
  • Cirovic S, Walsh C, Fraser WD, Gulino A. The effect of posture and positive pressure breathing on the hemodynamics of the internal jugular vein. Aviat Space Environ Med 2003;74:125–31.
  • Mavarez-Martinez A, Israelyan LA, Soghomonyan S, et al. The effects of patient positioning on the outcome during posterior cranial fossa and pineal region surgery. Front Surg 2020;7: 9.
  • Hindman BJ, Palecek JP, Posner KL, et al. Cervical spinal cord, root, and bony spine injuries: a closed claims analysis. Anesthesiology 2011;114:782–95.
  • Furuno Y, Sasajima H, Goto Y, et al. Strategies to prevent positioning-related complications associated with the lateral suboccipital approach. J Neurol Surg B Skull Base 2014;75:35–40.
  • Lee JY, Yoo C, Jung JH, Hwang YH, Kim YY. The effect of lateral decubitus position on intraocular pressure in healthy young subjects. Acta Ophthalmol 2012;90:e68–e72.
  • Hong CH, Jung KJ, Soh JW, et al. Acute rib fracture caused by preoperative positioning for direct lateral interbody fusion: a case report. Medicine. 2019;98:e14700.
  • Hwang JW, Jeon YT, Kim JH, Oh YS, Park HP. The effect of the lateral decubitus position on the intraocular pressure in anesthetized patients undergoing lung surgery. Acta Anaesthesiol Scand 2006;50:988–92.
  • Amagasaki K, Nagayama M, Watanabe S, Shono N, Nakaguchi H. Acute glaucoma attack following microvascular decompression surgery for trigeminal neuralgia. Neurol Med Chir 2018;58:266–9.
  • Winfree CJ, Kline DG. Intraoperative positioning nerve injuries. Surg Neurol 2005;63:5–18.
  • Molinares DM, Davis TT, Fung DA, et al. Is the lateral jack-knife position responsible for cases of transient neurapraxia? SPI 2016;24:189–96.
  • De Tommasi C, Cusimano MD. Rhabdomyolysis after neurosurgery: a review and a framework for prevention. Neurosurg Rev 2013;36:195–202;discussion 203.
  • Dunn PF. Physiology of the lateral decubitus position and one-lung ventilation. Int Anesthesiol Clin 2000;38:25–53.
  • Choi YS, Bang SO, Shim JK, Chung KY, Kwak YL, Hong YW. Effects of head-down tilt on intrapulmonary shunt fraction and oxygenation during one-lung ventilation in the lateral decubitus position. J Thorac Cardiovasc Surg 2007;134:613–8.
  • Kim LJ, Klopfenstein JD, Feiz-Erfan I, Zubay GP, Spetzler RF. Postoperative acute sialadenitis after skull base surgery. Skull Base 2008;18:129–34.
  • Hsu S, Hsieh C, Huang C, Huang JS. Delayed airway obstruction in posterior fossa craniotomy with park-bench position—a case report and review of the literatures. SS 2012;03:526–9.
  • Yoshimura M, Iizaka S, Kohno M, et al. Risk factors associated with intraoperatively acquired pressure ulcers in the park-bench position: a retrospective study. Int Wound J 2016;13:1206–13.
  • Shaw LF, Chang PC, Lee JF, Kung HY, Tung TH. Incidence and predicted risk factors of pressure ulcers in surgical patients: experience at a medical center in Taipei, Taiwan. Biomed Res Int 2014;2014:416896.
  • Yoshimura M, Nakagami G, Iizaka S, et al. Microclimate is an independent risk factor for the development of intraoperatively acquired pressure ulcers in the park-bench position: a prospective observational study. Wound Repair Regen 2015;23:939–47.
  • Hajat Z, Venkatraghavan L, McGuire G. Patent foramen ovale and elective posterior fossa craniotomy in the park-bench position: how should we proceed? J Neurosurg Anesthesiol 2019;31:263–4.
  • Shimizu S, Sato K, Mabuchi I, et al. Brachial plexopathy due to massive swelling of the neck associated with craniotomy in the park bench position. Surg Neurol 2009;71:504–8. Discussion 508–509.
  • Koizumi H, Utsuki S, Inukai M, Oka H, Osawa S, Fujii K. An operation in the park bench position complicated by massive tongue swelling. Case Rep Neurol Med 2012;2012:165860.
  • Chui J, Craen RA. An update on the prone position: continuing professional development. Can J Anaesth 2016;63:737–67.
  • Fridrich P, Krafft P, Hochleuthner H, Mauritz W. The effects of long-term prone positioning in patients with trauma-induced adult respiratory distress syndrome. Anesth Analg 1996;83:1206–11.
  • Johannigman JA, Davis K Jr, Miller SL, et al. Prone positioning and inhaled nitric oxide: synergistic therapies for acute respiratory distress syndrome. J Trauma 2001;50:589–95. Discussion 595–596.
  • Shih P, Slimack NP, Roy A, Fessler RG, Koski TR. Abdominal complications following posterior spinal fusion in patients with previous abdominal surgeries. Neurosurg Focus 2011;31:E16.
  • Rigamonti A, Gemma M, Rocca A, Messina M, Bignami E, Beretta L. Prone versus knee-chest position for microdiscectomy: a prospective randomized study of intra-abdominal pressure and intraoperative bleeding. Spine 2005;30:1918–23.
  • Nandyala SV, Marquez-Lara A, Fineberg SJ, Singh R, Singh K. Incidence and risk factors for perioperative visual loss after spinal fusion. Spine J 2014;14:1866–72.
  • 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;109:1534–45.
  • Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery 2019: An updated report by the American Society of Anesthesiologists Task Force on perioperative visual loss, the North American Neuro-Ophthalmology Society, and the Society for Neuroscience in Anesthesiology and Critical Care. Anesthesiology 2019;130:12–30.
  • Li A, Swinney C, Veeravagu A, Bhatti I, Ratliff J. Postoperative visual loss following lumbar spine surgery: a review of risk factors by diagnosis. World Neurosurg 2015;84:2010–21.
  • Fandino W. Strategies to prevent ischemic optic neuropathy following major spine surgery: a narrative review. J Clin Anesth 2017;43:50–8.
  • Lin S, Hey HWD, Lau ETC, et al. Prevalence and predictors of pressure injuries from spine surgery in the prone position: do body morphological changes during deformity correction increase the risks? Spine 2017;1542:1730–6.
  • Kwee MM, Ho YH, Rozen WM. The prone position during surgery and its complications: a systematic review and evidence-based guidelines. Int Surg 2015;100:292–303.
  • Gao L, Yang L, Li X, et al. The use of a logistic regression model to develop a risk assessment of intraoperatively acquired pressure ulcer. J Clin Nurs 2018;27:2984–92.
  • Kutteruf R, Wells D, Stephens L, Posner KL, Lee LA, Domino KB. Injury and liability associated with spine surgery. J Neurosurg Anesthesiol 2018;30:156–62.
  • Luo M, Long XH, Wu JL, Huang SZ, Zeng Y. Incidence and risk factors of pressure injuries in surgical spinal patients: a retrospective study. J Wound Ostomy Continence Nurs 2019;46:397–400.
  • Sinha A, Agarwal A, Gaur A, Pandey CK. Oropharyngeal swelling and macroglossia after cervical spine surgery in the prone position. J Neurosurg Anesthesiol 2001;13:237–9.
  • Guérin C, Albert RK, Beitler J, et al. Prone position in ARDS patients: why, when, how and for whom. Intensive Care Med 2020;46:2385–96.
  • Zarantonello F, Andreatta G, Sella N, Navalesi P. Prone position and lung ventilation and perfusion matching in acute respiratory failure due to COVID-19. Am J Respir Crit Care Med 2020;202:278–9.
  • Jozwiak M, Teboul JL, Anguel N, et al. Beneficial hemodynamic effects of prone positioning in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2013;188:1428–33.
  • Kirkpatrick AW, Pelosi P, De Waele JJ, et al. Clinical review: intra-abdominal hypertension: does it influence the physiology of prone ventilation? Crit Care 2010;14:232.
  • Depauw PRAM, Groen RJM, Van Loon J, Peul WC, Malbrain MLNG, De Waele JJ. The significance of intra-abdominal pressure in neurosurgery and neurological diseases: a narrative review and a conceptual proposal. Acta Neurochir 2019;161:855–64.
  • Epstein NE. More risks and complications for elective spine surgery in morbidly obese patients. Surg Neurol Int 2017;8:66.
  • Goodwin CR, Recinos PF, Omeis I, et al. Prevention of facial pressure ulcers using the Mayfield clamp for sacral tumor resection: technical note. J Neurosurg Spine 2011;14:85–7.
  • Morikawa K, Takenaga S, Masuda K, et al. A rare solitary fibrous tumor in the ischiorectal fossa: a case report. Surg Case Rep 2018;4:126.
  • Dragomirescu C, Budu S, Sabău D, Juvara I. Sacrococcygeal teratoma in the adult. Rev Chir Oncol Radiol o.r.l, Oftalmol Stomatol Chir 1980;29:391–6.
  • Zhang HY, Thongtrangan I, Balabhadra RSV, Murovic JA, Kim DH. Surgical techniques for total sacrectomy and spinopelvic reconstruction. Neurosurg Focus 2003;15:E5.
  • Hughey AB, Lesniak MS, Ansari SA, Roth S. What will anesthesiologists be anesthetizing? Trends in neurosurgical procedure usage. Anesth Analg 2010;110:1686–97.
  • Tarlov IM. The knee-chest position for lower spinal operations. J Bone Joint Surg Am 1967;49:1193–4.
  • Shriver MF, Zeer V, Alentado VJ, Mroz TE, Benzel EC, Steinmetz MP. Lumbar spine surgery positioning complications: a systematic review. Neurosurg Focus 2015;39:E16.
  • Cruette D, Navarre MC, Pinaquy C, Siméon F. Rhabdomyolyse après position génu-pectorale prolongée. Ann Fr Anesth Reanim 1986;5:67–9.
  • Frebet E, Ronceray S, Mercier P, Chapillon M, Lhoste F, Delhumeau A. Les rhabdomyolyses, accidents de la position génu-pectorale. Agressologie 1983;24:271–3.
  • Rudolph T, Løkebø JE, Andreassen L. Bilateral gluteal compartment syndrome and severe rhabdomyolysis after lumbar spine surgery. Eur Spine J 2011;20 Suppl 2:S180–2.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.