Perioperative Considerations and Positioning for Neurosurgical Procedures A Clinical Guide 1st Edition by Adam Arthur, Kevin Foley, Wayne Hamm ISBN 331972679X 9783319726793

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Product details:

ISBN 10: 331972679X 
ISBN 13: 9783319726793
Author:  Adam Arthur, Kevin Foley, C. Wayne Hamm

There are relationships that exist between neuroanesthesia, neurosurgical procedures, individual patient pathology and the positioning of a patient for said procedure.  A comprehensive examination of these relationships, their association with patient morbidity/mortality and how to approach these issues in an evidence-based manner has yet to become available. Positioning related injuries have been documented as major contributors to neurosurgical/neuroanesthesiology liability. This text examines these relationships. It provides considerations necessary to the correct positioning of a patient for a neurosurgical procedure for each individual patient and their individual pathology. In other words, this text will demonstrate how to construct the necessary surgical posture for the indicated neurosurgical procedure given the individual constraints of the patient within the environment of anesthesia and conforming to existing evidence-based practice guidelines. Sections will address physiological changes inherent in positioning in relation to anesthesia for neurosurgical procedures, assessment of patient for planned procedure, as well as considerations for managing problems associated with these relationships. Additional sections will examine the relationship between neurosurgical positioning and medical malpractice and the biomechanical science between positioning devices and neurosurgical procedures. Neurosurgery and its patient population are in a constant state of change. Providing the necessary considerations for the neurosurgical procedure planned under the anesthesia conditions planned in the position planned, often in the absence of multicase study literary support, without incurring additional morbidity is the goal of this text.

Perioperative Considerations and Positioning for Neurosurgical Procedures A Clinical Guide 1st Table of contents:

1. Positioning Patients for Neurosurgical Procedures: A Historical Perspective
2. Biomechanics and the Mathematics of Positioning
3. Anesthesia and Patient Positioning
4. Preoperative Assessment of the Patient for the Planned Position
5. Organization of the Operating Room for Neurosurgical Procedures
6. Overall Positioning Considerations for Intracranial Procedures
7. Intracranial Procedures in the Supine, Semi-Sitting, and Sitting Positions
8. Intracranial Procedures in the Lateral Position
9. Intracranial Procedures in the Prone Position
10. Spinal Surgery Positioning Overview
11. The Supine, Sitting, and Lithotomy Positions
12. Spinal Procedures in the Lateral Position
13. Spinal Procedures in the Prone Position
14. Special Considerations in Positioning for Neurosurgical Tumors: Spinal
15. Special Considerations for Intracranial Tumors
16. Special Considerations for Pediatric Positioning for Neurosurgical Procedures
17. Comorbidities and Positioning: Morbid Obesity and Multiple Trauma
18. Comorbidities and Positioning: Pregnancy
19. Postoperative Positioning in the Neurointensive Care Unit
20. Differential Diagnosis, Treatment, and Prognosis of Peripheral Nerve Injuries Associated with Neurosurgical Procedures
21. Legal Issues in Patient Positioning

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Adam Arthur,Kevin Foley,Wayne Hamm,Perioperative Considerations,Positioning,Neurosurgical Procedures,Clinical Guide