Beach Chair Position Anesthesia Complications
At our insti tution we performed a small study with. J shoulder elbow.
A prospective study on the effect of general anesthesia compared with regional anesthesia and sedation.
Beach chair position anesthesia complications. Desaturation and the risk of neurologic injury associated with anesthesia and surgery in the beach chair position for shoulder surgery. Anesthesia and the beach chair position. Et al4 compared the beach chair position to the lateral decubitus position in patients undergoing shoulder surgery undergeneral anesthesia and found significant reduc tions in cerebral oxygenation in patients in the beach chair position as opposed to the lateral decubitus position.
There are serious complications associated with the sitting position such as venous air embolism vae pneumocephalus quadriplegia and peripheral nerve injuries. University of michigan medical school ann arbor. The beach chair position is a reliable safe and effective position to perform nearly all types of shoulder arthroscopic procedures.
The advantages of the beach chair position include the ease of setup limited brachial plexus stress increased glenohumeral and subacromial visualization anesthesia flexibility and the ability to easily. After induction of anesthesia he was placed in an upright 60 to 65. Venous air embolism vae cardiac dysrhythmias arterial oxygen desaturation.
Cerebral oxygenation in the beach chair position. Open shoulder surgery or arthroscopy performed in the sitting position under interscalene block may be complicated by episodes of bradycardia or hypotension or both which occurs in up to 20 of cases. Side effects of the beach chair position.
The mechanism of neurologic injury in the beach chair position is unknown but. Beach chair surgery requires appropriate surgical and. Complications of the beach chair position robert r.
Cullen case summary a 61 year old american society of anesthesiologists physical status classification i asa i male patient underwent general anesthesia for repair of a torn rotator cuff in his right shoulder. Lofsky may well be correct that when labetalol is used in patients before they are placed in the beach chair position for example in a hypertensive patient to mitigate the effects of endotracheal intubation on blood pressure and heart rate hypotension is likely to occur under general anesthesia when they are placed upright. The beach chair position allows better surgical visualization compared to lateral decubitus position but may be associated with catastrophic neurologic complications including stroke spinal cord ischemia and transient visual loss.
To understand the potential impact of cerebral. The beach chair position bcp is extensively used as a routine approach for shoulder surgery in australia new zealand and around the world. Associate professor senior associate chair of clinical affairs and quality.