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Prevention of air embolism during sitting neurosurgery
Author(s) -
SALE J. P.
Publication year - 1984
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1984.tb06527.x
Subject(s) - medicine , sitting , inflatable , air embolism , venous congestion , neurosurgery , compression (physics) , tourniquet , anesthesia , surgery , complication , mechanical engineering , materials science , pathology , engineering , composite material
Summary An inflatable neck tourniquet has been developed for compression of the jugular veins during neurosurgery in the sitting position. Neck compression abolishes the subatmospheric pressure within the neck veins and therefore minimises the risk of air embolism. Compression can be applied throughout the initial part of the operation, a major period of risk during these surgical procedures, and released once full surgical exposure has been achieved. Venous congestion is then released and normal operating conditions are restored.