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Sitting position (Risks/complications (Compressive neuropathy (Buttock…
Sitting position
Risks/complications
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Pneumocephalus - higher risk if reduced brain volume (mannitol, space occupying lesion removed, drain CSF, Nitrous)
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Midcervical tetraplegia (usually C5) - C Spine damage from sitting position - thought to be from overstretching spinal cord (compromised vasculature)
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Summary of anaes mx
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Intraop
Induction
IABP with trnsducer at ear, temp, TEDS
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Maintenance
Slow, staged positioning of patient, meticulous to pressure areas
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IPPV, aim low-normal PaCO2
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Physiological effect
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CVS
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May have compromise with increased SVR and HR, decreased SV and CO. Compensation depends on degree and depth of anaesthesia
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