Beach Chair Position For Shoulder Surgery. The beach chair position allows better surgical visualization compared to lateral decubitus position but may be associated with catastrophic neurologic complications, including stroke, spinal cord ischemia, and transient visual loss. The two most popular patient positions for operative treatment of proximal humeral fractures are the beach chair and the supine position.
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The presumed etiology of central nervous system injury is hypotension and subsequent cerebral hypoperfusion that occurs after alterations in positioning under general anesthesia. The present findings can be attributed to the hemodynamic changes associated with the sitting position. Although uncommon, severe neurological events have been reported in patients undergoing shoulder surgery in the beach chair position.
To be aware of potential cerebral monitoring options.
Hypoperfusion for patients anesthetized in the beach chair position. The present findings can be attributed to the hemodynamic changes associated with the sitting position. The mechanism of neurologic injury in the beach chair position is unknown but , Abstract although uncommon, severe neurological events have been reported in patients undergoing shoulder surgery in the beach chair position.
