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Titolo:
Is the sitting or the prone position best for surgery for posterior fossa tumours in children?
Autore:
Orliaguet, GA; Hanafi, M; Meyer, PG; Blanot, S; Jarreau, MM; Bresson, D; Zerah, M; Carli, PA;
Indirizzi:
CHU Necker Enfants Malad, Dept Anesthesie Reanimat, Paris, France CHU Necker Enfants Malad Paris France nesthesie Reanimat, Paris, France CHU Necker Enfants Malad, Serv Neurochirurg Pediat, Paris, France CHU Necker Enfants Malad Paris France eurochirurg Pediat, Paris, France
Titolo Testata:
PAEDIATRIC ANAESTHESIA
fascicolo: 5, volume: 11, anno: 2001,
pagine: 541 - 547
SICI:
1155-5645(200109)11:5<541:ITSOTP>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
VENOUS AIR-EMBOLISM; CRANIECTOMY; ANESTHESIA;
Keywords:
posterior fossa tumour; anaesthesia : neurosurgical; operating position; complications;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Orliaguet, GA Grp Hosp Necker Enfants Malad, Dept Anesthesiol & Crit Care,149 Rue Sevres, F-75743 Paris 15, France Grp Hosp Necker Enfants Malad 149Rue Sevres Paris France 15
Citazione:
G.A. Orliaguet et al., "Is the sitting or the prone position best for surgery for posterior fossa tumours in children?", PAEDIATR AN, 11(5), 2001, pp. 541-547

Abstract

Background: The aim of this study was to compare complications in childrenoperated for posterior fossa tumours in the sitting position with those inthe prone position. Methods: We retrospectively assessed the perioperative course of posteriorfossa tumour (PFT) surgery according to the operating position. Sixty children were operated in the sitting position (SP) and 19 in the prone position (PP). Preoperative data were not different between groups. Results: Patients in the PP group received a larger median (95% confidenceinterval) volume of intraoperative blood transfusion than patients in the SP group [200 (20-325) versus 0 (0-80) ml, P=0.04]. Intraoperative complications, as well as severe perioperative complications were more frequent in the PP group (P=0.01). The median duration of tracheal intubation [20 (18-24) versus 36 (18-72) h, P=0.037], of ICU stay [2 (2-3) versus 4 (2-5) days,P=0.02] and of hospital stay [11 (9-12) versus 14 (10-20) days, P=0.02] was longer in the PP group compared with the SP group. Conclusions: PFT surgery in the sitting position in children is not associated with an increased number or severity of perioperative complications, while the postoperative course appears better in this position.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 10:37:20