Why the study?
Severe neurological events secondary to hypotension and cerebral hypoperfusion have been reported in patients undergoing shoulder surgery in the beach chair position.
Does the beach chair position during shoulder surgery cause severe neurological events and cerebral hypoperfusion?
Population
Patients undergoing shoulder surgery in the beach chair position
Design
Review of the current literature
Authors
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Supports vigilant monitoring in beach chair positioning; leaves open whether desaturations increase neurological risk.
Does the beach chair position during shoulder surgery cause severe neurological events and cerebral hypoperfusion?
The beach chair position during shoulder surgery is associated with physiological reductions in cerebral perfusion, highlighting the need for careful intraoperative blood pressure and neurological monitoring.
Murphy et al. (2019) studied this question.
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