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Canadian Journal of Anesthesia, Vol 21, 445-453, Copyright © 1974 by Canadian Anesthesiologists' Society

Complications During Neurosurgery in the Prone Position in Children

H. W. MERIDY M.D., F.A.C.A.1, R. E. CREIGHTON M.D., F.R.C.P.(C)1, and R. P. HUMPHREYS M.D., F.R.C.S.(C)2

1 Department of Anaesthesia, University of Toronto and Hospital for Sick Children, Toronto
2 Division of Neurosurgery, University of Toronto and Hospital for Sick Children, Toronto

The authors reviewed the charts of 107 patients undergoing surgery (in the prone position) for posterior fossa or upper cervical lesions. The use of controlled ventilation appeared to reduce the blood loss. The creation of a ventriculo-peritoneal shunt on an average of 13 days before surgery improved operative conditions and decreased the incidence of intra-operative complications during posterior fossa operations. The prone position with or without controlled ventilation resulted in good surgical conditions and had some anaesthetic advantages.






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Copyright © 1974 by the Canadian Anesthesiologists' Society.