Beach Chair Position And Anesthesia. A prospective study on the effect of general anesthesia compared with regional anesthesia and sedation. Hence while doing shoulder surgery in an upright position if a blood pressure reading for a cuff placed at the level of the heart is 12080 mmHg and there is 25 cm of elevation between it and the external auditory meatus the cerebral pressure is 10262.
The advantages of the beach chair position include the ease of setup limited brachial plexus stress increased glenohumeral and subacromial visualization anesthesia flexibility and the ability to easily convert to an open procedure. Patients are sat up at angles varying from 30-90 above the horizontal plane with appropriate padding and with the head secured in a headrest. Shoulder Surgery in the Beach Chair Position Is Associated with Diminished Cerebral Autoregulation but No Differences in Postoperative Cognition or Brain Injury Biomarker Levels Compared with Supine Positioning The Anesthesia Patient Safety Foundation Beach Chair Study.
The anesthesia patient safety foundation beach chair study.
1 In 2005 Pohl and Cullen published a 4-patient case series describing catastrophic cerebral ischemia in patients undergoing shoulder surgery in the BCP. A prospective study on the effect of general anesthesia compared with regional anesthesia and sedation. Many if not most of these shoulder procedures are conducted in the upright beach chair position BCP. 1 In 2005 Pohl and Cullen published a 4-patient case series describing catastrophic cerebral ischemia in patients undergoing shoulder surgery in the BCP.
