Emelifeonwu John, Duncan Douglas, Park Jay J, Demetriades Andreas K
Department of Neurosurgery Royal Infirmary of Edinburgh Edinburgh UK.
Department of Neuroanaesthesia Royal Infirmary of Edinburgh Edinburgh UK.
Health Sci Rep. 2025 Apr 8;8(4):e70601. doi: 10.1002/hsr2.70601. eCollection 2025 Apr.
Although rare, anaesthetising patinets in prone position for spinal surgery carries a risk of serious complications. Among these, postoperative visual loss (POVL) is of significant concern. Preventing POVL requires close collaboration between spinal surgeons and anaesthetists.
In our centre, we practiced a cost-effective method to ensure proper patient positioning, eye protection, and consistent assessment of eye position during prone spinal surgery. An affordable telescopic inspection mirror was used in conjunction with standard protective eye padding secured with sleek tape. This approach facilitated regular intraoperative eye checks without disrupting the surgical workflow.
The proposed approach offers an affordable and practical alternative to expensive commercial headrest options while maintaining effectiveness in reducing the risk of POVL.
The method provides a viable, low-cost solution for mitigating POVL risk in prone-anaesthetised spinal surgery patients, highlighting the importance of interdisciplinary coordination and continuous monitoring.
尽管罕见，但在脊柱手术中对俯卧位患者进行麻醉存在严重并发症的风险。其中，术后视力丧失（POVL）备受关注。预防POVL需要脊柱外科医生和麻醉师密切合作。
在我们中心，我们采用了一种经济有效的方法，以确保在俯卧位脊柱手术期间患者体位正确、眼睛得到保护，并对眼睛位置进行持续评估。使用了一种价格实惠的伸缩式检查镜，并结合用光滑胶带固定的标准护眼垫。这种方法便于在不干扰手术流程的情况下进行术中定期眼部检查。
所提出的方法提供了一种价格实惠且实用的替代昂贵商业头枕选项的方案，同时在降低POVL风险方面保持有效性。
该方法为减轻俯卧位麻醉脊柱手术患者的POVL风险提供了一种可行的低成本解决方案，凸显了跨学科协调和持续监测的重要性。
