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Effect of Reverse Trendelenburg Position on Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours

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Monitoring of Cerebral and Spinal Haemodynamics During Neurosurgery

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Abstract

The effects of head and trunk elevation on cerebral haemodynamics have been investigated in intensive care patients. In most of these studies, head and trunk elevation resulted in decreased ICP. The effect of head elevation on ICP and cerebral haemodynamics during general anaesthesia for craniotomy in patients with cerebral tumours has only been sparsely investigated. In this chapter data on four studies concerning the reverse Trendelenburg position in patients with significant space-occupying lesions as well as patients with cerebral aneurysms are presented and discussed. The ICP-lowering effect of 10 degrees reverse Trendelenburg position in two groups of prone- and supine-positioned patients are presented. The optimal reverse position is disclosed and the influence of the anaesthetic regime discussed.

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Authors and Affiliations

  1. Department of Neuroanaesthesia, Aarhus University Hospital, Noorebrogade 44, 8000, Aarhus C, Denmark

    Alp Tankisi

  2. Hojkolvej 2, 8210, Aarhus V, Denmark

    Georg E. Cold

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  1. Alp Tankisi
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  2. Georg E. Cold
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Editors and Affiliations

  1. Hojkolvej 2, 8210, Aarhus V, Denmark

    Georg E. Cold

  2. Department of Neuroanaesthesia, Aarhus University Hospital, Norrebrogade 44, 8000, Aarhus C, Denmark

    Niels Juul

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Tankisi, A., Cold, G. (2008). Effect of Reverse Trendelenburg Position on Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours . In: Cold, G., Juul, N. (eds) Monitoring of Cerebral and Spinal Haemodynamics During Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77873-8_15

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  • DOI: https://doi.org/10.1007/978-3-540-77873-8_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-77872-1

  • Online ISBN: 978-3-540-77873-8

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