Beach Chair Position Cerebral Perfusion. Four cases of ischemic injury have been reported in patients undergoing orthopedic surgery in the upright position. The beach chair position is commonly used during orthopedic shoulder surgery for better visualization and access to the operative site.
Although controversial failing to consider the gravitational effects of head elevation on cerebral perfusion is speculated to increase susceptibility to rare but devastating neurologic complications after shoulder surgery in the beach chair position BCP. Beach chair positioning during surgical procedures has been associated with cerebral hypoperfusion leading to cerebral ischemia 5 6 14. These events have exposed the need for heightened vigilance and Improved safety measures.
However it is not clear how the cardiac function is affected when BP increase to maintain cerebral perfusion pressure in.
Surgery in the beach chair position BCP may reduce cerebral blood flow and oxygenation resulting in neurological injuries. These events have exposed the need for heightened vigilance and Improved safety measures. Several published case reports and studies have raised concerns for neurologic complications related to anesthesia for surgery performed with patients in the beach chair position. We describe the use of cerebral oximetry as a monitor of the adequacy of cerebral perfusion in a 63-year-old woman who underwent arthroscopic rotator cuff surgery in a beach chair.