Avoiding catastrophic complications of stroke and death related to shoulder surgery in the sitting position

The beach-chair position in shoulder surgery provides advantages to the surgeon and anesthesiologist. However, cautious interpretation of the patient's blood pressure is essential, especially when the blood pressure cuff is placed at the calf. The calf pressure should be interpreted relative to...

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Bibliographic Details
Published inArthroscopy Vol. 24; no. 4; p. 481
Main Authors Papadonikolakis, Anastasios, Wiesler, Ethan R, Olympio, Michael A, Poehling, Gary G
Format Journal Article
LanguageEnglish
Published United States 01.04.2008
Subjects
Arthroscopy - adverse effects
Arthroscopy - methods
Blood Pressure Determination
Death
Female
Humans
Male
Orthopedic Procedures - adverse effects
Orthopedic Procedures - methods
Postoperative Complications - mortality
Postoperative Complications - prevention & control
Posture
Sensitivity and Specificity
Shoulder - surgery
Shoulder Injuries
Stroke - prevention & control
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Summary:The beach-chair position in shoulder surgery provides advantages to the surgeon and anesthesiologist. However, cautious interpretation of the patient's blood pressure is essential, especially when the blood pressure cuff is placed at the calf. The calf pressure should be interpreted relative to the heart-level pressure to avoid iatrogenic cerebral hypoperfusion related to hypotensive anesthesia. Possible complications of cerebral hypoperfusion are permanent neurologic impairment, stroke, and death.
ISSN:1526-3231
DOI:10.1016/j.arthro.2008.02.005