Perioperative Considerations and Positioning for Neurosurgical Procedures

Perioperative Considerations and Positioning for Neurosurgical Procedures : A Clinical Guide

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Description

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.
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Product details

  • Paperback | 287 pages
  • 178 x 254 x 15.24mm | 799g
  • Cham, Switzerland
  • English
  • Softcover reprint of the original 1st ed. 2018
  • 94 Tables, color; XIX, 287 p.
  • 3030102505
  • 9783030102500

Back cover copy

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.
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Table of contents

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
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Review Text

"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)
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Review quote

"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)
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About Adam Arthur

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
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