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Controlled neck compression in neurosurgery
Author(s) -
PFITZNER J.,
McLEAN A. G.
Publication year - 1985
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.1365-2044.1985.tb10937.x
Subject(s) - medicine , inflatable , cuff , neurosurgery , compression (physics) , surgery , intracranial pressure , jugular vein , vein , anesthesia , radiology , mechanical engineering , materials science , engineering , composite material
Summary Bilateral compression of the jugular veins to raise temporarily cerebral venous pressure, is a manoeuvre recommended frequently in the immediate management of venous air embolism during neurosurgery. One method of compressing the neck veins is to inflate a pneumatic cuff secured around the neck with adhesive tape. This method of neck vein compression had been assessed in upright anaesthetised sheep and found to be an easily controlled and efficient way to raise the cerebral venous pressure. Advantages, dangers and potential problems associated with the use of an inflatable cuff in the clinical situation are discussed.