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Right-to-left-shunts in patients scheduled for neurosurgical intervention in semi-sitting position: a literature review based on two case scenarios

Neurosurgery performed in the semi-sitting position provides advantages for certain procedures. However, this approach is associated with potential complications, particularly venous air embolism. Due to typically negative venous pressure at the wound site, air can be drawn into the veins. This risk...

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Main Authors: Nikolić, Marina (Author) , Eisner, Christoph (Author) , Neumann, Jan-Oliver (Author) , Haux-Nettesheim, Daniel (Author) , Krieg, Sandro (Author) , Wielpütz, Mark Oliver (Author) , Weigand, Markus A. (Author) , Tochtermann, Ursula (Author) , Fischer, Dania (Author)
Format: Article (Journal)
Language:English
Published: 16 October 2024
In: BMC anesthesiology
Year: 2024, Volume: 24, Issue: 1, Pages: 1-8
ISSN:1471-2253
DOI:10.1186/s12871-024-02757-6
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1186/s12871-024-02757-6
Verlag, kostenfrei, Volltext: https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12871-024-02757-6
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Author Notes:Marina Nikolic, C. Eisner, J.O. Neumann, D. Haux, S.M. Krieg, M.O. Wielpütz, M.A. Weigand, U. Tochtermann and Dania Fischer
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Summary:Neurosurgery performed in the semi-sitting position provides advantages for certain procedures. However, this approach is associated with potential complications, particularly venous air embolism. Due to typically negative venous pressure at the wound site, air can be drawn into the veins. This risk is especially high in patients presenting with an intra- or extracardiac right-to-left-shunt. Transoesophageal echocardiography can be used to detect a patent foramen ovale or other possible pulmonary-systemic shunt before placing the patient in the sitting position.
Item Description:Gesehen am 26.03.2025
Physical Description:Online Resource
ISSN:1471-2253
DOI:10.1186/s12871-024-02757-6

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