Use of the sitting position for pineal tumour surgery in a five-year-old child

DOI: 10.1080/22201173.2011.10872811
Author(s): P AmukoaKericho District Hospital, Kenya, A ReedMetro West Anaesthetic Service, New Somerset Hospital,, JM ThomasRed Cross War Memorial Children's Hospital,


The sitting position provides almost ideal access to several areas within the cranium. The high risk of air embolism has led to decreased use of the sitting position. However, improved identification of patients at risk of paradoxical embolism may allow a more calculated, safer use thereof. Despite an improved understanding of the risks, many neurosurgical centres seldom use this position, and the occasional use of a complex patient position can then create additional challenges.

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