Beach Chair Position Anesthesia
Beach chair position and many more patient preparations described step by step with text and illustrations. 1 although the 2 cases described in the newsletter article involved the use of labetalol the other 2 cases described in our original article 2 were not given labetalol.
Shoulder surgery is another option and the sitting position decreases brachial plexus stretch and aids in manipulation of the joint.
Beach chair position anesthesia. Lofsky for her detailed and thoughtful letter concerning our presentation in the summer 2007 apsf newsletter regarding the beach chair position and decreased cerebral perfusion. We wish to thank dr. Cerebral oxygenation in the beach chair position.
Beach chair surgery requires appropriate surgical and. Bring the torso up into the beach chair position. Approximately two thirds of the 400 000 shoulder surgery procedures performed annually in the united states are performed with the patient s head elevated above the horizontal a position know as the beach chair position bcp.
J shoulder elbow. After induction of anesthesia he was placed in an upright 60 to 65 degree modified beach chair position. Combination of nerve block and light general anesthesia.
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. Secure the head to an appropriate head rest and secure the oral tube. Side effects of the beach chair position.
1 2 this position affords better intra articular visualization and less risk of neurovascular trauma than when patients are placed in the lateral decubitus. The beach chair position bcp is extensively used as a routine approach for shoulder surgery in australia new zealand and around the world. Sitting beach chair note risk of jugular venous obstruction with excessive neck flexion.
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. 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. Anesthesia and the beach chair position.
A prospective study on the effect of general anesthesia compared with regional anesthesia and sedation. Throughout the 2 hour and 20 minute operation his blood pressure was measured noninvasively. Associate professor senior associate chair of clinical affairs and quality.
At our insti tution we performed a small study with. University of michigan medical school ann arbor.