Susset V, Gromollard P, Ripart J, Molliex S
Département d'anesthésie et de réanimation, hôpital Nord, CHU, 42055 Saint-Étienne cedex 2, France.
Ann Fr Anesth Reanim. 2012 Oct;31(10):e247-52. doi: 10.1016/j.annfar.2012.08.002. Epub 2012 Sep 20.
Positioning of the neurosurgical patient has several features such as the existence of specific positions (i.e: sitting, prone hyperlordotic, crouching ou kneeling positions) or the range of facilities for the same surgical indications. The last point, a source of controversy, is the subject of this review. Current indications for the sitting position, positioning for lumbar spine surgery and prevention of eye injuries are successively addressed.
神经外科患者的体位有几个特点,比如存在特定体位(即:坐位、俯卧过伸位、蹲位或跪位),或者针对相同手术适应症的一系列设备。最后一点是争议的来源,也是本综述的主题。文中依次讨论了坐位的当前适应症、腰椎手术的体位以及眼损伤的预防。