Key result
Anesthetic management choices, such as regional anesthesia with sedation or normotensive general anesthesia, can significantly decrease the risk of cerebral deoxygenation during beach-chair surgery.
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Highlights the importance of specific anesthetic management strategies to prevent cerebral deoxygenation during shoulder surgery in the beach-chair position.
Orthopaedic surgeons and anesthesiologists need to work together to avoid catastrophic cerebral ischemic injuries when surgery is performed with patients in the beach-chair position. Patient risk factors include body mass index but are not strongly predictive. Anesthetic management choices, such as regional anesthesia with sedation or normotensive general anesthesia with gradual and limited head elevation and hypercapnia, can significantly decrease the risk of cerebral deoxygenation.
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Jason L. Koh (2019) conducted an editorial in Cerebral deoxygenation during beach-chair shoulder surgery. Anesthetic management choices (regional anesthesia with sedation or normotensive general anesthesia) was evaluated on Cerebral deoxygenation. Anesthetic management choices, such as regional anesthesia with sedation or normotensive general anesthesia, can significantly decrease the risk of cerebral deoxygenation during beach-chair surgery.
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