Anaesthesia in the prone position

被引:323
作者
Edgcombe, H. [2 ]
Carter, K. [2 ]
Yarrow, S. [1 ]
机构
[1] John Radcliffe Hosp, Nuffield Dept Anaesthesia, Oxford OX3 9DU, England
[2] Royal Berkshire NHS Fdn Trust, Reading RG1 5AN, Berks, England
关键词
complications; neuropathy; respiratory; position; effects; prone; surgery; spinal;
D O I
10.1093/bja/aem380
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Prone positioning of patients during anaesthesia is required to provide operative access for a wide variety of surgical procedures. It is associated with predictable changes in physiology but also with a number of complications, and safe use of the prone position requires an understanding of both issues. We have reviewed the development of the prone position and its variants and the physiological changes which occur on prone positioning. The complications associated with this position and the published techniques for various practical procedures in this position will be discussed. The aim of this review is to identify the risks associated with prone positioning and how these risks may be anticipated and minimized.
引用
收藏
页码:165 / 183
页数:19
相关论文
共 229 条
[1]   Musculocutaneous nerve palsy following traumatic spinal cord injury [J].
Abbott, KM ;
Nesathurai, S .
SPINAL CORD, 1998, 36 (08) :588-590
[2]   External iliac artery occlusion in posterior spinal surgery [J].
Akagi, S ;
Yoshida, Y ;
Kato, I ;
Sasai, K ;
Saito, T ;
Imamura, A ;
Ogawa, R .
SPINE, 1999, 24 (08) :823-825
[3]  
ALBIN MS, 1991, ANESTH ANALG, V73, P346
[4]   CENTRAL REGISTRY FOR VENOUS AIR-EMBOLISM [J].
ALBIN, MS ;
RITTER, RR ;
SLOAN, T ;
HICKEY, R ;
BUNEGIN, L .
ANESTHESIA AND ANALGESIA, 1995, 81 (03) :658-658
[5]   CLINICAL CONSIDERATIONS CONCERNING DETECTION OF VENOUS AIR-EMBOLISM [J].
ALBIN, MS ;
CARROLL, RG ;
MAROON, JC .
NEUROSURGERY, 1978, 3 (03) :380-384
[6]   Severe hypotension in the prone position in a child with neurofibromatosis, scoliosis and pectus excavatum presenting for posterior spinal fusion [J].
Alexianu, D ;
Skolnick, ET ;
Pinto, AC ;
Ohkawa, S ;
Roye, DP ;
Solowiejczyk, DE ;
Hyman, JE ;
Sun, LS .
ANESTHESIA AND ANALGESIA, 2004, 98 (02) :334-335
[7]   Unusual presentation and complication of the prone position for spinal surgery [J].
Ali, AA ;
Breslin, DS ;
Hardman, HD ;
Martin, G .
JOURNAL OF CLINICAL ANESTHESIA, 2003, 15 (06) :471-473
[8]  
AMIS TC, 1984, RESP PHYSIOL, V56, P145, DOI 10.1016/0034-5687(84)90100-2
[9]   Cavernous sinus thrombosis following prone position anaesthesia [J].
Anand, S ;
Mushin, AS .
EYE, 2005, 19 (07) :803-804
[10]   THE PRONE POSITION FOR THE SURGICAL PATIENT - A HISTORICAL REVIEW OF THE PRINCIPLES AND HAZARDS [J].
ANDERTON, JM .
BRITISH JOURNAL OF ANAESTHESIA, 1991, 67 (04) :452-463