Question

Advantages of anaesthesia in sitting position neurosurgery.

Hint:

The sitting position can provide optimal surgical access and improved venous drainage, but it requires careful patient monitoring.

Answer 1

Step 1: Advantages of Sitting Position in Neurosurgery:
1. Improved Surgical Exposure: The sitting position provides better access to the posterior fossa, cerebellum, and upper cervical spine, enhancing visibility for the surgeon.
2. Reduced Intracranial Pressure (ICP): The sitting position helps promote venous drainage, reducing intracranial pressure, which can be beneficial in surgeries involving the brainstem or posterior fossa.
3. Optimal Drainage of Blood: It improves blood drainage from the brain, reducing the risk of postoperative swelling or bleeding.
4. Ease of Handling Cerebrospinal Fluid (CSF): During surgeries involving CSF, the sitting position can make it easier to manage CSF leaks or access the spinal cord.