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Perioperative Considerations and Positioning for Neurosurgical Procedures - A Clinical Guide (Hardcover, 1st ed. 2018)
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Perioperative Considerations and Positioning for Neurosurgical Procedures - A Clinical Guide (Hardcover, 1st ed. 2018)
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There are relationships that exist between neuroanesthesia,
neurosurgical procedures, individual patient pathology and the
positioning of a patient for said procedure. A comprehensive
examination of these relationships, their association with patient
morbidity/mortality and how to approach these issues in an
evidence-based manner has yet to become available. Positioning
related injuries have been documented as major contributors to
neurosurgical/neuroanesthesiology liability. This text examines
these relationships. It provides considerations necessary to the
correct positioning of a patient for a neurosurgical procedure for
each individual patient and their individual pathology. In other
words, this text will demonstrate how to construct the necessary
surgical posture for the indicated neurosurgical procedure given
the individual constraints of the patient within the environment of
anesthesia and conforming to existing evidence-based practice
guidelines. Sections will address physiological changes inherent in
positioning in relation to anesthesia for neurosurgical procedures,
assessment of patient for planned procedure, as well as
considerations for managing problems associated with these
relationships. Additional sections will examine the relationship
between neurosurgical positioning and medical malpractice and the
biomechanical science between positioning devices and neurosurgical
procedures. Neurosurgery and its patient population are in a
constant state of change. Providing the necessary considerations
for the neurosurgical procedure planned under the anesthesia
conditions planned in the position planned, often in the absence of
multicase study literary support, without incurring additional
morbidity is the goal of this text.
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