SITTING POSITION IN NEUROSURGERY. CARE PLAN INTRASURGERY.

Abstract

One of the main functions of the surgical nurse is to guarantee security and comfort for the patient who undergoes an intervention. In addition to this, the surgical nurse should make sure that no nervous or vascular commitments by compression of structures exist during the positioning of the patient in the surgical table. A correct respiratory and circulatory operation must also be assured, as well as the skin integrity avoiding possible positions and fixing suitable catheters soundings and routes. Sometimes, the boarding of the later grave for the tumor resection or later cervical approaches in pathology of rachis requires a sitting surgical position of the patient. The sitting position, nowadays, means a challenge for nursing professionals and the rest of the surgical team. It is true, that this position is in disuse and that has great detractors that choose other positions for concordant the infratentorial approach or rachis cervical later, they may be prone position or lateral position. We will deal in this work with the cares that should receive these patients during the surgery, at the same time that we will value the advantages and disadvantages, as well as its possible alternatives. Although this route of boarding can be used in occipitocervicals interventions or rachis cervical later, the patients type are usually those that present a LOE that requires an approach of later fossa. This is indicated in tumors of the pontocerebellum angle, neurinomas of the hearing aid, tumors of trocoencephalon, and cerebellum.