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A case report of anaesthesia for craniotomy in sitting position

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Case Report

Author Details : Dinesh Suryanarayana Rao*, Veena Velmurugan

Volume : 8, Issue : 4, Year : 2021

Article Page : 611-614

https://doi.org/10.18231/j.ijca.2021.130

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Abstract

Tumors in the posterior fossa can be done in lateral, supine, prone, sitting and in park bench positions. Depending on the exact position of the lesion and the technical preference of the surgeon, sitting position may be preferred. Sitting position grants best possible access to deeper structures with minimal retraction. However, maintenance of anaesthesia in this position for long duration pose some serious challenges to the anaesthesiologist including high risk of venous air embolism (VAE), hemodynamic instability and respiratory disturbances. Here, we present a case report of a 36year old male diagnosed with pineal gland space occupying lesion (SOL), operated in the sitting position under general anaesthesia. We discuss about anaesthetic management and possible complications that can be encountered.
 

Keywords: Sitting craniotomy, Hemodynamic changes, Venous air embolism, Management.

How to cite : Rao D S, Velmurugan V, A case report of anaesthesia for craniotomy in sitting position. Indian J Clin Anaesth 2021;8(4):611-614

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