Anaesthesia in the prone position

British Journal of Anaesthesia

Volumn 100, Issue 2, 2008, Pages 165-183

  Edgcombe, H ^a   Carter, K ^a   Yarrow, S ^b  

^a ROYAL BERKSHIRE NHS FOUNDATION TRUST   (United Kingdom)

^b JOHN RADCLIFFE HOSPITAL   (United Kingdom)

Author keywords

Complications, neuropathy; Complications, respiratory; Position, effects; Position, prone; Surgery, spinal

Indexed keywords

ANESTHESIA; ARTERY INJURY; ARTERY OCCLUSION; AVASCULAR NECROSIS; BODY POSTURE; CERVICAL SPINE INJURY; CONTACT DERMATITIS; EMBOLISM; GAS EMBOLISM; HEART INDEX; HEART OUTPUT; HUMAN; INFERIOR CAVA VEIN OBSTRUCTION; ISCHEMIA; LUNG BLOOD FLOW; LUNG VENTILATION; LUNG VOLUME; MACROGLOSSIA; OROPHARYNX; PATIENT SAFETY; PERIPHERAL NERVE INJURY; PERIPHERAL VASCULAR DISEASE; PHYSIOLOGY; PRIORITY JOURNAL; RESPIRATORY FUNCTION; REVIEW; RISK ASSESSMENT; SALIVARY GLAND DISEASE; SHOULDER DISLOCATION; SURGICAL TECHNIQUE; SWELLING; TRACHEA COMPRESSION; VISUAL IMPAIRMENT; BREATHING MECHANICS; HEMODYNAMICS; METHODOLOGY; PEROPERATIVE CARE; PEROPERATIVE COMPLICATION; POSTOPERATIVE COMPLICATION;

ANESTHESIA; HEMODYNAMICS; HUMANS; INTRAOPERATIVE CARE; INTRAOPERATIVE COMPLICATIONS; POSTOPERATIVE COMPLICATIONS; PRONE POSITION; RESPIRATORY MECHANICS;

EID: 38949110768     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aem380     Document Type: Review

References (228)

1. Practice Advisory for perioperative visual loss associated with spine surgery: a report by the American Society of Anesthesiologists Task Force on perioperative blindness. Anesthesiology 2006; 104: 1319-28
2. Practice advisory for the prevention of perioperative peripheral neuropathies: a report by the American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral Neuropathies. Anesthesiology 2000; 92: 1168-82
3. Abbott KM, Nesathurai S. Musculocutaneous nerve palsy following traumatic spinal cord injury. Spinal Cord 1998; 36: 588-90
4. Akagi S, Yoshida Y, Kato I, et al. External iliac artery occlusion in posterior spinal surgery. Spine 1999; 24: 823-5
5. Albin MS, Carroll RG, Maroon JC. Clinical considerations concerning detection of venous air embolism. Neurosurgery 1978; 3: 380-4
6. Albin MS, Ritter RR, Pruett CE, Kalff K. Venous air embolism during lumbar laminectomy in the prone position: report of three cases. Anesth Analg 1991; 73: 346-9
7. Albin MS, Ritter R, Sloan T, Hickey R, Bunegin L. Central registry for venous air embolism. Anesth Analg 1995; 81: 658
8. Alexianu D, Skolnick ET, Pinto AC, et al. Severe hypotension in the prone position in a child with neurofibromatosis, scoliosis and pectus excavatum presenting for posterior spinal fusion. Anesth Analg 2004; 98: 334-5
9. Ali AA, Breslin DS, Hardman HD, Martin G. Unusual presentation and complication of the prone position for spinal surgery. J Clin Anesth 2003; 15: 471-3
10. Amis TC, Jones HA, Hughes JM. Effect of posture on inter-regional distribution of pulmonary ventilation in man. Respir Physiol 1984; 56: 145-67
11. Anand S, Mushin AS. Cavernous sinus thrombosis following prone position anaesthesia. Eye 2005; 19: 803-4
12. Anderton JM. The prone position for the surgical patient: a historical review of the principles and hazards. Br J Anaesth 1991; 67: 452-63
13. Anderton JM, SchadyW, Markham DE. An unusual cause of postoperative brachial plexus palsy. Br J Anaesth 1994; 72: 605-7
14. Asai T, Shingu K. Airway management of a patient with tracheal stenosis for surgery in the prone position. Can J Anaesth 2004; 51: 733-6
15. Aschoff A, Steiner-Milz H, Steiner HH. Lower limb compartment syndrome following lumbar discectomy in the knee-chest position. Neurosurg Rev 1990; 13: 155-9
16. Backofen JE SJ. Hemodynamic changes with prone positioning during general anethesia. Anesth Analg 1985; 64: 194
17. Bagshaw ON, Jardine A. Cardiopulmonary complications during anaesthesia and surgery for severe thoracic lordoscoliosis. Anaesthesia 1995; 50: 890-2
18. Bhardwaj A, Long DM, Ducker TB, Toung TJ. Neurologic deficits after cervical laminectomy in the prone position. J Neurosurg Anesthesiol 2001; 13: 314-9
19. Biswas BK, Bithal PK, Dash M, Lamba NS, Biswas N. Keratoconjunctival injury in the prone position: a prospective study in neurosurgical patients. Eur J Anaesthesiol 2004; 21: 663-5
20. Brandt SE, Zeegers WS, Ceelen TL. Fatal pulmonary fat embolism after dorsal spinal fusion. Eur Spine J 1998; 7: 426-8
21. Brimacombe J, Keller C. An unusual case of airway rescue in the prone position with the ProSeal laryngeal mask airway. Can J Anaesth 2005; 52: 884
22. Brown J, Rogers J, Soar J. Cardiac arrest during surgery and ventilation in the prone position: a case report and systematic review. Resuscitation 2001; 50: 233-8
23. Caricato A, Pennisi MA, Pappalardo F, Iodice F, Lepore D. Bilateral fixed mydriasis reversible during orthopedic surgery in the prone position. Anesthesiology 1999; 90: 1777-8
24. Cattell E, Saravanan P, Chay S, Lawler PG. The defibrillator back paddle: use for treatment of arrhythmias during prone position ventilation. Anaesthesia 2000; 55: 491
25. Chandra PS, Jaiswal A, Mahapatra AK. Bifrontal epidural haematomas following surgery for occipital falcine meningioma: an unusual complication of surgery in the prone position. J Clin Neurosci 2002; 9: 582-4
26. Chen S-H, Hui Y-L, Yu C-M, Niu C-C, Lui P-W. Paraplegia by acute cervical disc protrusion after lumbar spine surgery. Chang Gung Med J 2005; 28: 254-7
27. Cheney FW, Domino KB, Caplan RA, Posner KL. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology 1999; 90: 1062-9
28. Cheng MA, Sigurdson W, Tempelhoff R, Lauryssen C. Visual loss after spine surgery: a survey. Neurosurgery 2000; 46: 625-30; discussion 30-1
29. Cheng MA, Tempelhoff R. Postoperative visual loss, still no answers yet [comment]. Anesthesiology 2002; 96: 1531
30. Cheng MA, Todorov A, Tempelhoff R, McHugh T, Crowder CM, Lauryssen C. The effect of prone positioning on intraocular pressure in anesthetized patients [see comment]. Anesthesiology 2001; 95: 1351-5
31. Chu Y-C, Tsai S-K, Chan K-H, Kao S-C, Liang C-H, Lin S-M. Lateral medullary syndrome after prone position for general surgery. Anesth Analg 2002; 95: 1451-3
32. Cook AW, Siddiqi TS, Nidzgorski F, Clarke HA. Sitting prone position for the posterior surgical approach to the spine and posterior fossa. Neurosurgery 1982; 10: 232-5
33. Coonan TJ, Hope CE. Cardio-respiratory effects of change of body position. Can Anaesth Soc 1983; 30: 424-37
34. Cruette D, Navarre MC, Pinaquy C, Simeon F. Rhabdomyolysis after prolonged knee-chest position. Ann Fr Anesth Reanim 1986; 5: 67-9
35. Curtin WA, Lahoti OP, Fogarty EE, Dowling FE, Regan BF, Drumm B. Pancreatitis after alar-transverse fusion for spondylolisthesis. A case report. Clin Orthop 1993;142-3
36. Davidas JL, Roullit S, Dubost J, et al. Creatine phosphokinases and serum and urinary myoglobin following a procedure in prolonged knee-chest position for the treatment of spondylolisthesis. Ann Fr Anesth Reanim 1986; 5: 31-4
37. Deem S, Shapiro HM, Marshall LF. Quadriplegia in a patient with cervical spondylosis after thoracolumbar surgery in the prone position. Anesthesiology 1991; 75: 527-8
38. Delaloye D, Gerber H. A special surgical technique leads to venous air embolism during neurosurgery of the spine [comment]. Anesth Analg 1992; 75: 468-9
39. Despond O, Fiset P. Oxygen venous embolism after the use of hydrogen peroxide during lumbar discectomy. Can J Anaesth 1997; 44: 410-3
40. Dhuner K. Nerve injuries following operations: a survey of cases occurring during a six year period. Anesthesiology 1950; 11: 289-93
41. Dilger JA, Tetzlaff JE, Bell GR, Kosmorsky GS, Agnor RC, O'Hara JF, Jr. Ischaemic optic neuropathy after spinal fusion. Can J Anaesth 1998; 45: 63-6
42. Dinmore P. A new operating position for posterior spinal surgery. Anaesthesia 1977; 32: 377-80
43. DiStefano VJ, Klein KS, Nixon JE, Andrews ET. Intra-operative analysis of the effects of position and body habitus on surgery of the low back. A preliminary report. Clin Orthop 1974; 99: 51-6
44. Droghetti L, Giganti M, Memmo A, Zatelli R. Air embolism: diagnosis with single-photon emission tomography and successful hyperbaric oxygen therapy. Br J Anaesth 2002; 89: 775-8
45. Drummond JC. Macroglossia, déjà vu [comment]. Anesth Analg 1999; 89: 534-5
46. Dubey PK, Singh AK. Venous oxygen embolism due to hydrogen peroxide irrigation during posterior fossa surgery. J Neurosurg Anesthesiol 2000; 12: 54-6
47. Ecker A. Kneeling position for operations on the lumbar spine. Surgery 1949; 25: 112
48. Elmaci I, Ain MC, Wright MJ, et al. Perioperative intracranial hemorrhage in achondroplasia: a case report [erratum appears in J Neurosurg Anesthesiol 2001; 13(1): 59]. J Neurosurg Anesthesiol 2000; 12: 217-20
49. Etsten BE. Respiratory acidosis during intrathoracic surgery; the Overholt prone position. J Thorac Surg 1953; 25: 286-99
50. Foster MR. Rhabdomyolysis in lumbar spine surgery: a case report. Spine 2003; 28: E276-8
51. Frankel AS, Holzman RS. Air embolism during posterior spinal fusion. Can J Anaesth 1988; 35: 511-4
52. Galvin I, Drummond GB, Nirmalan M. Distribution of blood flow and ventilation in the lung: gravity is not the only factor. Br J Anaesth 2007; 98: 420-8
53. Geisler FH, Laich DT, Goldflies M, Shepard A. Anterior tibial compartment syndrome as a positioning complication of the pronesitting position for lumbar surgery. Neurosurgery 1993; 33: 1117
54. Gercek A, Konya D, Babayev R, Ozgen S. Delayed recovery from general anesthesia from intracranial tumor. Anesth Analg 2007; 104: 235-6
55. Glenny RW LW, Albert RK, Robertson HT. Gravity is a minor determinant of pulmonary blood flow distribution. J Appl Physiol 1991; 71: 620-9
56. Goettler CE, Pryor JP, Reilly PM. Brachial plexopathy after prone positioning. Crit Care 2002; 6: 540-2
57. Gordon B, Newman W. Lower nephron syndrome following prolonged knee-chest position. JBJS (Am) 1953; 35A: 764-8
58. Gordon-Bennett P, Ung T, Stephenson C, Hingorani M. Misdiagnosis of angle closure glaucoma. Br Med J 2006; 333: 1157-8
59. Gould DB, Cunningham K. Internal carotid artery dissection after remote surgery. Iatrogenic complications of anesthesia. Stroke 1994; 25: 1276-8
60. Greenberg R, Tymms A. Alert for perioperative visual loss: an unusual presentation of an orbital haemangioma during spinal surgery. Anaesth Intensive Care 2003; 31: 679-82
61. Greenblott G, Barker SJ, Tremper KK, Gerschultz S, Gehrich JL. Detection of venous air embolism by continuous intraarterial oxygen monitoring. J Clin Monit 1990; 6: 53-6
62. Grimmett WG, Poh J. Clearance of an obstructed endotracheal tube with an arterial embolectomy catheter with the patient in the prone position. Anaesth Intensive Care 1998; 26: 579-81
63. Grossman W, Ward WT. Central retinal artery occlusion after scoliosis surgery with a horseshoe headrest. Case report and literature review. Spine 1993; 18: 1226-8
64. Gueugniaud PY, Muchada R, Bertin-Maghit M, Griffith N, Petit P. Non-invasive continuous haemodynamic and PETCO2 monitoring during peroperative cardiac arrest. Can J Anaesth 1995; 42: 910-3
65. Gwinnutt CL. Injury to the axillary nerve [erratum appears in Anaesthesia 1988; 43(6): 529]. Anaesthesia 1988; 43: 205-6
66. Halfon MJ, Bonardo P, Valiensi S, et al. Central retinal artery occlusion and ophthalmoplegia following spinal surgery. Br J Ophthalmol 2004; 88: 1350-2
67. Hans P, Demoitie J, Collignon L, Bex V, Bonhomme V. Acute bilateral submandibular swelling following surgery in prone position. Eur J Anaesthesiol 2006; 23: 83-4
68. Hara N, Minami T. Diffusive pulmonary embolism with bone fragments during spinal surgery. Br J Anaesth 2006; 97: 119-20
69. Hastings DE. A simple frame for operations on the lumbar spine. Can J Surg 1969; 12: 251-3
70. Hatada T, Kusunoki M, Sakiyama T, et al. Hemodynamics in the prone jackknife position during surgery. Am J Surg 1991; 162: 55-8
71. Hinton AE, King D. Anterior shoulder dislocation as a complication of surgery for burns. Burns 1989; 15: 248-9
72. Hiraga Y, Maruoka H, Yamamoto M, et al. Compression of the graft during the corrective surgery for scoliosis in a patient who has undergone a Rastelli's operation: a case study. Masui 1992; 41: 1490-3
73. Ho VTG, Newman NJ, Song S, Ksiazek S, Roth S. Ischemic optic neuropathy following spine surgery. J Neurosurg Anesthesiol 2005; 17: 38-44
74. Hofmann A, Jones RE, Schoenvogel R. Pudendal-nerve neurapraxia as a result of traction on the fracture table. A report of four cases. J Bone Joint Surg Am 1982; 64: 136-8
75. Hollenhorst R, Svien HJ, Benoit CF. Unilateral blindness occurring during anesthesia for neurosurgical operations. AMA Arch Ophthalmol 1954; 52: 819-30
76. Horlocker TT, Wedel DJ, Cucchiara RF. Venous air embolism during spinal instrumentation and fusion in the prone position [comment]. Anesth Analg 1992; 75: 152; author reply 3
77. Hunt K, Bajekal R, Calder I, Meacher R, Eliahoo J, Acheson JF. Changes in intraocular pressure in anesthetized prone patients. J Neurosurg Anesthesiol 2004; 16: 287-90
78. Iwabuchi T, Ishii M, Julow J. Biparieto-occipital craniotomy with hyperextended neck - 'sea lion' position. Acta Neurochir (Wien) 1979; 51: 113-7
79. Jackson L, Keats AS. Mechanism of brachial plexus palsy following anesthesia. Anesthesiology 1965; 26: 190-4
80. Jain V, Bithal PK, Rath GP. Pressure sore on malar prominences by horseshoe headrest in prone position. Anaesth Intensive Care 2007; 35: 304-5
81. Jeon YT, Park YO, won Hwang J, Lim YJ, Oh YS, Park HP. Effect of head position on postoperative chemosis after prone spinal surgery. J Neurosurg Anesthesiol 2007; 19: 1-4
82. Jericho BG, Skaria GP. Contact dermatitis after the use of the PronePositioner. Anesth Analg 2003; 97: 1706-8
83. Jones AT HD, Evans TW. Pulmonary perfusion in supine and prone positions: an electron-beam computed tomography study. J Appl Physiol 2001; 90: 1342-8
84. Kai Y, Yamaoka A, Irita K, Zaitsu A, Takahashi S. Transient tracheal obstruction during surgical correction of scoliosis in a patient with Marfan's syndrome. Masui 1995; 44: 868-73
85. Kamel IR, Drum ET, Koch SA, et al. The use of somatosensory evoked potentials to determine the relationship between patient positioning and impending upper extremity nerve injury during spine surgery: a retrospective analysis. Anesth Analg 2006; 102: 1538-42
86. Kamming D, Clarke S. Postoperative visual loss following prone spinal surgery [see comment]. Br J Anaesth 2005; 95: 257-60
87. Kaneko K, Milic-Emili J, Dolovich MB, Dawson A, Bates DV. Regional distribution of ventilation and perfusion as a function of body position. J Appl Physiol 1966; 21: 767-77
88. Katzman SS, Moschonas CG, Dzioba RB. Amaurosis secondary to massive blood loss after lumbar spine surgery. Spine 1994; 19: 468-9
89. Keim HA, Weinstein JD. Acute renal failure - a complication of spine fusion in the tuck position. A case report. J Bone Joint Surg Am 1970; 52: 1248-50
90. Kelleher A, Mackersie A. Cardiac arrest and resuscitation of a 6-month old achondroplastic baby undergoing neurosurgery in the prone position. Anaesthesia 1995; 50: 348-50
91. Kim C, Blank J, McClain BC. Transient paraparesis after general anesthesia in a patient in the prone position. Anesthesiology 1994; 81: 775-7
92. Kimura H, Watanabe Y, Mizukoshi K, Yamamoto Y, Araki S. Six cases of anesthesia mumps. Nippon Jibiinkoka Gakkai Kaiho 1993; 96: 1915-21
93. Kiran S, Gombar S, Chhabra B, Gombar K. Another hazard of the prone position. Anesth Analg 1997; 85: 949
94. Kobayashi S, Sugita K, Tanaka Y, Kyoshima K. Infratentorial approach to the pineal region in the prone position: concorde position. Technical note. J Neurosurg 1983; 58: 141-3
95. Kroll DA, Caplan RA, Posner K, Ward RJ, Cheney FW. Nerve injury associated with anesthesia [see comment]. Anesthesiology 1990; 73: 202-7
96. Kumar N, Jivan S, Topping N, Morrell AJ. Blindness and rectus muscle damage following spinal surgery. Am J Ophthalmol 2004; 138: 889-91
97. Kuperwasser B, Zaid BT, Ortega R. Compartment syndrome after spinal surgery and use of the Codman frame. Anesthesiology 1995; 82: 793
98. Laakso E, Ahovuo J, Rosenberg PH. Blood flow in the lower limbs in the knee-chest position. Ultrasonographic study in unanaesthetised volunteers. Anaesthesia 1996; 51: 1113-6
99. Lang SA, Duncan PG, Dupuis PR. Fatal air embolism in an adolescent with Duchenne muscular dystrophy during Harrington instrumentation. Anesth Analg 1989; 69: 132-4
100. Langmayr JJ, Ortler M, Obwegeser A, Felber S. Quadriplegia after lumbar disc surgery. A case report [see comment]. Spine 1996; 21: 1932-5
101. Laurin CA, Migneault G, Brunet JL, Roy P. Knee-chest support for lumbosacral operations. Can J Surg 1969; 12: 245-50
102. Lee L, Roth MD, Posner KL, et al. The American Society of Anesthesiologists Postoperative visual loss registry: analysis of 93 spine surgery cases with postoperative visual loss. Anesthesiology 2006; 105: 652-9
103. Lee LA. ASA Postoperative visual loss registry: preliminary analysis of factors associated with spine operations. ASA Newsletter 2003; 67: 7-8
104. Lee LA, Lam AM. Unilateral blindness after prone lumbar spine surgery [see comment]. Anesthesiology 2001; 95: 793-5
105. Lee TC, Yang LC, Chen HJ. Effect of patient position and hypotensive anesthesia on inferior vena caval pressure. Spine 1998; 23: 941-7; discussion 7-8
106. Leibovitch I, Casson R, Laforest C, Selva D. Ischemic orbital compartment syndrome as a complication of spinal surgery in the prone position [see comment]. Ophthalmology 2006; 113: 105-8
107. Lesser RP, Raudzens P, Luders H, et al. Postoperative neurological deficits may occur despite unchanged intraoperative somatosensory evoked potentials. Ann Neurol 1986; 19: 22-5
108. Levin H, Bursztein S, Heifetz M. Cardiac arrest in a child with an anterior mediastinal mass. Anesth Analg 1985; 64: 1129-30
109. Lin J-A, Wong C-S, Cherng C-H. Unexpected blood clot-induced acute airway obstruction in a patient with inactive pulmonary tuberculosis during lumbar spine surgery in the prone position - a case report. Acta Anaesthesiol Taiwan 2005; 43: 93-7
110. Lipp M, Mihaljevic V, Jakob H, Mildenberger P, Rudig L, Dick W. Fiberoptic intubation in the prone position. Anesthesia in a thoraco-abdominal knife stab wound. Anaesthesist 1993; 42: 305-8
111. Lipton S. Anaesthesia in the surgery of retropulsed vertebral discs. Anaesthesia 1950; 5: 208-12
112. Loewenthal A, De Albuquerque AM, Lehmann-Meurice C, Otteni JC. Efficacy of external cardiac massage in a patient in the prone position. Ann Fr Anesth Reanim 1993; 12: 587-9
113. Lopez LM, Traves N, Napal M. Fatal gas embolism during corrective surgery for scoliosis using the posterior approach. Rev Esp Anestesiol Reanim 1999; 46: 267-70
114. Lorenzini NA, Poterack KA. Somatosensory evoked potentials are not a sensitive indicator of potential positioning injury in the prone patient. J Clin Monit 1996; 12: 171-6
115. Lumb AB, Nunn JF. Respiratory function and ribcage contribution to ventilation in body positions commonly used during anesthesia. Anesth Analg 1991; 73: 422-6
116. Lynch S, Brand L, Levy A. Changes in lung-thorax compliance during orthopedic surgery. Anaesthesiology 1959; 20: 278-82
117. Mackay I. A new frame for the positioning of patients for surgery of the back. Can Anaesth Soc J 1956; 3: 279-82
118. Mahajan RP, Hennessy N, Aitkinhead AR, Jellinek D. Effect of three different surgical prone positions on lung volumes in healthy volunteers. Anaesthesia 1994; 49: 583-6
119. Mahla ME, Long DM, McKennett J, Green C, McPherson RW. Detection of brachial plexus dysfunction by somatosensory evoked potential monitoring - a report of two cases. Anesthesiology 1984; 60: 248-52
120. Massey EW, Pleet AB. Compression injury of the sciatic nerve during a prolonged surgical procedure in a diabetic patient. J Am Geriatr Soc 1980; 28: 188-9
121. Mayo JR, Mackay AL, Whittall KP, Kaile EM, Pare PD. Measurement of lung water content and pleural pressure gradient with magnetic resonance imaging. J Thorac Imaging 1995; 10: 73-81
122. McCarthy RE, Lonstein JE, Mertz JD, Kuslich SD. Air embolism in spinal surgery. J Spinal Disord 1990; 3: 1-5
123. McDouall SF, Shlugman D. Fatal venous air embolism during lumbar surgery: the tip of an iceberg? Eur J Anaesthesiol 2007; 24: 803-16
124. Meridy HW, Creighton RE, Humphreys RP. Complications during neurosurgery in the prone position in children. Can Anaesth Soc J 1974; 21: 445-53
125. Mesrobian RB, Epps JL. Midtracheal obstruction after Harrington rod placement in a patient with Marfan's syndrome. Anesth Analg 1986; 65: 411-3
126. Miranda CC, Newton MC. Successful defibrillation in the prone position [see comment]. Br J Anaesth 2001; 87: 937-8
127. Mirski MA, Lele AV, Fitzsimmons L, Toung TJK. Vascular air emboli. Anesthesiology 2007; 106: 164-77
128. Monticelli F, Meyer HJ, Tutsch-Bauer E. Fatal pulmonary cement embolism following percutaneous vertebroplasty (PVP). Forensic Sci Int 2005; 149: 35-8
129. Moore DC, Edmunds LH. Prone position frame. Surgery 1950; 27: 276-9
130. Moore EW, Davies MW. A slap on the back. Anaesthesia 1999; 54: 308
131. Mouradian WH, Simmons EH. A frame for spinal surgery to reduce intra-abdominal pressure while continuous traction is applied. J Bone Joint Surg Am 1977; 59: 1098-9
132. Mutoh T, Guest RJ, Lamm WJ, Albert RK. Prone position alters the effect of volume overload on regional pleural pressures and improves hypoxemia in pigs in vivo. Am Rev Respir Dis 1992; 146: 300-6
133. Myers MA, Hamilton SR, Bogosian AJ, Smith CH, Wagner TA. Visual loss as a complication of spine surgery. A review of 37 cases. Spine 1997; 22: 1325-9
134. Neal MR, Groves J, Gell IR. Awake fibreoptic intubation in the semi-prone position following facial trauma. Anaesthesia 1996; 51: 1053-4
135. Nuttall GA, Horlocker TT, Santrach PJ, Oliver WC, Jr, Dekutoski MB, Bryant S. Predictors of blood transfusions in spinal instrumentation and fusion surgery. Spine 2000; 25: 596-601
136. Nyren S, Mure M, Jacohbsson H, Larrson SA, Lindahl SGE. Pulmonary perfusion is more uniform in the prone than in the supine position: scintigraphy in healthy humans. J Appl Physiol 1999; 86: 1135-41
137. Olympio MA, Bell WO. Venous air embolism after craniotomy closure: tension pneumocephalus implicated. J Neurosurg Anesthesiol 1994; 6: 35-9
138. Ono S, Nishiyama T, Hanaoka K. Hoarseness after endotracheal intubation caused by submucosal hemorrage of the vocal cord and recurrent nerve palsy. Masui 2000; 49: 881-3
139. Orpen N, Walker G, Fairlie N, Coghill S, Birch N. Avascular necrosis of the femoral head after surgery for lumbar spinal stenosis. Spine 2003; 28: E364-7
140. Owen CA, Mubarak SJ, Hargens AR, Rutherford L, Garetto LP, Akeson WH. Intramuscular pressures with limb compression clarification of the pathogenesis of the drug-induced muscle-compartment syndrome. N Engl J Med 1979; 300: 1169-72
141. Ozcan MS, Praetel C, Bhatti MT, Gravenstein N, Mahla ME, Seubert CN. The effect of body inclination during prone positioning on intraocular pressure in awake volunteers: a comparison of two operating tables. Anesth Analg 2004; 99: 1152-8
142. Ozkose Z, Ercan B, Unal Y, et al. Inhalation versus total intravenous anesthesia for lumbar disc herniation: comparison of hemodynamic effects, recovery characteristics, and cost. J Neurosurg Anesthesiol 2001; 13: 296-302
143. Parks BJ. Postoperative peripheral neuropathies. Surgery 1973; 74: 348-57
144. Pearce DJ. The role of posture in laminectomy. Proc R Soc Med 1957; 50: 109-12
145. Pelosi P, Croci M, Calappi E, et al. The prone positioning during general anesthesia minimally affects respiratory mechanics while improving functional residual capacity and increasing oxygen tension. Anesth Analg 1995; 80: 955-60
146. Pelosi P, Croci M, Calappi E, et al. Prone positioning improves pulmonary function in obese patients during general anesthesia. Anesth Analg 1996; 83: 578-83
147. Pham Dang C, Pereon Y, Champin P, Delecrin J, Passuti N. Paradoxical air embolism from patent foramen ovale in scoliosis surgery. Spine 2002; 27: E291-5
148. Pivalizza EG, Katz J, Singh S, Liu W, McGraw-Wall BL. Massive macroglossia after posterior fossa surgery in the prone position. J Neurosurg Anesthesiol 1998; 10: 34-6
149. Populaire C, Lundi JN, Pinaud M, Souron R. Elective tracheal intubation in the prone position for a neonate with Pierre Robin syndrome. Anesthesiology 1985; 62: 214-5
150. Pousman RM, Eilers WA, 3rd, Johns B, Jung H. Irritant contact dermatitis after use of Bispectral Index sensor in prone position. Anesth Analg 2002; 95: 1337-8
151. Prabhakar H, Bithal PK, Ghosh I, Dash HH. Pneumorrhachis presenting as quadriplegia following surgery in the prone position. Br J Anaesth 2006; 97: 901-3
152. Prabhu M, Samra S. An unusual cause of rhabdomyolysis following surgery in the prone position. J Neurosurg Anesthesiol 2000; 12: 359-63
153. Pump B, Talleruphuus U, Christensen NJ, Warberg J, Norsk P. Effects of supine, prone, and lateral positions on cardiovascular and renal variables in humans. Am J Physiol Regul Integr Comp Physiol 2002; 283: R174-R80
154. Rau C-S, Liang C-L, Lui C-C, Lee T-C, Lu K. Quadriplegia in a patient who underwent posterior fossa surgery in the prone position. Case report. J Neurosurg 2002; 96: 101-3
155. Ray CD. New kneeling attachment and cushioned face rest for spinal surgery. Neurosurgery 1987; 20: 266-9
156. Reid JM, Appleton PJ. A case of ventricular fibrillation in the prone position during back stabilisation surgery in a boy with Duchenne's muscular dystrophy [see comment]. Anaesthesia 1999; 54: 364-7
157. Relton JE, Hall JE. An operation frame for spinal fusion. A new apparatus designed to reduce haemorrhage during operation. J Bone Joint Surg Br 1967; 49: 327-32
158. Rittoo DB, Morris P. Tracheal occlusion in the prone position in an intubated patient with Duchenne muscular dystrophy. Anaesthesia 1995; 50: 719-21
159. Rodriguez-Nieto MJ, Peces-Barba G, Gonzalez Mangado N, Paiva M, Verbanck S. Similar ventilation distribution in normal subjects prone and supine during tidal breathing. J Appl Physiol 2002; 92: 622-6
160. Roth S, Barach P. Postoperative visual loss: still no answers-yet [comment]. Anesthesiology 2001; 95: 575-7
161. Roth S, Thisted RA, Erickson JP, Black S, Schreider BD. Eye injuries after nonocular surgery. A study of 60,965 anesthetics from 1988 to 1992. Anesthesiology 1996; 85: 1020-7
162. Roth S, Tung A, Ksiazek S. Visual loss in a prone-positioned spine surgery patient with the head on a foam headrest and goggles covering the eyes: an old complication with a new mechanism. Anesth Analg 2007; 104: 1185-7
163. Safar P, Aguto-Escarraga L. Compliance in apneic anesthetised adults. Anesthesiology 1959; 20: 283-9
164. Sakka SG. Delayed complication of central venous catheterisation after prone positioning. Intensive Care Medicine 2001; 27: 783-4
165. Satomoto M, Takagi Y, Igarashi H, Sato S. Hepatic infarction following prolonged prone position. Masui 2006; 55: 1170-2
166. Schebesta AG, Wong TA. A method of spontaneously breathing anaesthesia in the prone position without endotracheal intubation [see comment]. Anaesth Intensive Care 1991; 19: 88-91
167. Schmidt CR, Lincoln JR. Peripheral nerve injuries with anesthesia: a review and report of three cases. Anesth Analg 1966; 45: 748-53
168. Schwann NM, Maguire DP, Roth JV, McNulty SE, Saouaf A. Evaluation of transesophageal atrial pacing in the prone and lateral positions. J Cardiothorac Vasc Anesth 2001; 15: 192-6
169. Schwartz DM, Drummond DS, Hahn M, Ecker ML, Dormans JP. Prevention of positional brachial plexopathy during surgical correction of scoliosis. J Spinal Disord 2000; 13: 178-82
170. Shenkin HN, Goldfedder P. Air embolism from exposure of posterior cranial fossa in prone position. JAMA 1969; 210: 726
171. Shermak M, Shoo B, Deune EG. Prone positioning precautions in plastic surgery. Plast Reconstr Surg 2006; 117: 1584-8; discussion 9
172. Sinha A, Agarwal A, Gaur A, Pandey CK. Oropharyngeal swelling and macroglossia after cervical spine surgery in the prone position. J Neurosurg Anesthesiol 2001; 13: 237-9
173. Skeehan TM, Hensley FA, Jr. Axillary artery compression and the prone position. Anesth Analg 1986; 65: 318-9
174. Slabaugh PB, Nickel VL. Complications with use of the Stryker frame. J Bone Joint Surg Am 1978; 60: 1111-2
175. Smith R. The prone position. In: JT Martin, ed. Positioning in Anesthesia and Surgery. Philadelphia: WB Saunders, 1978
176. Smith RH. One solution to the problem of the prone position for surgical procedures. Anesth Analg 1974; 53: 221-4
177. Smith RH, GZ, Volpitto PP. Problems related to the prone position for surgical operations. Anesthesiology 1961; 22: 189-93
178. Soliman DE, Maslow AD, Bokesch PM, et al. Transoesophageal echocardiography during scoliosis repair: comparison with CVP monitoring [see comment]. Can J Anaesth 1998; 45: 925-32
179. Soriano SG, McManus ML, Sullivan LJ, Scott RM, Rockoff MA. Doppler sensor placement during neurosurgical procedures for children in the prone position. J Neurosurg Anesthesiol 1994; 6: 153-5
180. Srivastava S, Pandey CK. Anesthesia in the prone lithotomy position. Can J Anaesth 2001; 48: 827
181. Stevens WR, Glazer PA, Kelley SD, Lietman TM, Bradford DS. Ophthalmic complications after spinal surgery. Spine 1997; 22: 1319-24
182. Sudheer PS, Logan SW, Ateleanu B, Hall JE. Haemodynamic effects of the prone position: a comparison of propofol total intravenous and inhalation anaesthesia. Anaesthesia 2006; 61: 138-41
183. Sunden G, Walloe A, Wingstrand H. A new device to reduce intra-abdominal pressure during lumbar surgery. Spine 1986; 11: 635-6
184. Sunder-Plassmann G, Locker GJ, Muhm M, Thalhammer F, Laczika K, Frass von Friedenfeldt M. Central venous catheterization in a patient in the prone position. Crit Care Med 1997; 25: 1439-40
185. Sutherland RW, Winter RJ. Two cases of fatal air embolism in children undergoing scoliosis surgery. Acta Anaesthesiol Scand 1997; 41: 1073-6
186. Sutterlin C, Rechtine GR. Using the Heffington frame in elective lumbar spinal surgery. Orthop Rev 1988; 17: 597-600
187. Szabo M, Denman W, Marota J, Roberts J. Evaluation of airway edema in patients operated on in the prone position. J Neurosurg Anaesthesiol 1997; 9: 380
188. Takeuchi M, Morita K, Nakatsuka H, et al. A case of central retinal artery occlusion after anterior posterior fusion of the lumbar spine. Masui 2001; 50: 899-901
189. Takizawa D, Hiraoka H, Nakamura K, Yamamoto K, Horiuchi R. Influence of the prone position on propofol pharmacokinetics. Anaesthesia 2004; 59: 1250-1
190. Tarlov IM. The knee-chest position for lower spinal operations. J Bone Joint Surg Am 1967; 49: 1193-4
191. Taylor AR, Gleadhill CA, Bilsland WL, Murray PF. Posture and anaesthesia for spinal operations with special reference to intervertebral disc surgery. Br J Anaesth 1956; 28: 213-9
192. Teoh DCA, Williams DL. Adult Klippel-Feil syndrome: haemodynamic instability in the prone position and postoperative respiratory failure. Anaesth Intensive Care 2007; 35: 124-7
193. Tettenborn B, Caplan LR, Sloan MA, et al. Postoperative brainstem and cerebellar infarcts. Neurology 1993; 43: 471-7
194. Tiefenthaler W, Gabl M, Teuchner B, Benzer A. Intraocular pressure during lumbar disc surgery in the knee-elbow position. Anaesthesia 2005; 60: 878-81
195. Ting CK, Tsou MY, Su NY, et al. Repeated attacks of venous air embolism during craniotomy - a case report. Acta Anaesthesiol Sin 2001; 39: 41-5
196. Tobias JD, Mencio GA, Atwood R, Gurwitz GS. Intraoperative cardiopulmonary resuscitation in the prone position. J Pediatr Surg 1994; 29: 1537-8
197. Tobin A, KW. Prone ventilation - it's Time. Anaesth Intensive Care 1999; 27: 194-201
198. Toung TJ, McPherson RW, Ahn H, Donham RT, Alano J, Long D. Pneumocephalus: effects of patient position on the incidence and location of aerocele after posterior fossa and upper cervical cord surgery. Anesth Analg 1986; 65: 65-70
199. Toyota S, Amaki Y. Hemodynamic evaluation of the prone position by transesophageal echocardiography. J Clin Anesth 1998; 10: 32-5
200. Tsung Y-C, Wu C-T, Hsu C-H, Yeh C-C, Lin S-L, Wong C-S. Macroglossia after posterior fossa surgery in the prone position - a case report. Acta Anaesthesiol Taiwan 2006; 44: 43-6
201. Turker RJ, Slack C, Regan Q. Thoracic paraplegia after lumbar spinal surgery. J Spinal Disord 1995; 8: 195-200
202. Usher S. Use of the laryngeal mask airway in the prone position. Hosp Med 2004; 65: 252
203. Valero R, Serrano S, Adalia R, et al. Anesthetic management of a patient in prone position with a drill bit penetrating the spinal canal at C1-C2, using a laryngeal mask. Anesth Analg 2004; 98: 1447-50
204. Valls PL, Naul LG, Kanter SL. Paraplegia after a routine lumbar laminectomy: report of a rare complication and successful management. Neurosurgery 1990; 27: 638-40
205. Van Aken H, Scherer R, Lawin P. A rare intra-operative complication in a child with Von Recklinghausen's neurofibromatosis. Anaesthesia 1982; 37: 827-9
206. Vossler DG, Stonecipher T, Millen MD. Femoral artery ischemia during spinal scoliosis surgery detected by posterior tibial nerve somatosensory-evoked potential monitoring. Spine 2000; 25: 1457-9
207. Wadsworth R, Anderton JM, Vohra A. The effect of four different surgical prone positions on cardiovascular parameters in healthy volunteers. Anaesthesia 1996; 51: 819-22
208. Wakeno M, Sakamoto S, Asai T, Hirose T, Shingu K. A case of diaphragmatic paralysis in a patient with diabetes mellitus after surgery in prolonged prone position. Masui 2001; 50: 1019-21
209. Walsh S, Bedi A, Miranda C. Successful defibrillation in the prone position. Br J Anaesth 2002; 89: 799-800
210. Wang L-C, Liou J-T, Liu F-C, Hsu J-C, Lui P-W. Fatal ischemia stroke in a patient with an asymptomatic carotid artery occlusion after lumbar spine surgery - a case report. Acta Anaesthesiol Taiwan 2004; 42: 179-82
211. Warner MA, Warner ME, Martin JT. Ulnar neuropathy. Incidence, outcome, and risk factors in sedated or anesthetized patients [see comment]. Anesthesiology 1994; 81: 1332-40
212. Warner ME, Warner MA, Garrity JA, MacKenzie RA, Warner DO. The frequency of perioperative vision loss. Anesth Analg 2001; 93: 1417-21
213. Wayne SJ. A modification of the tuck position for lumbar spine surgery. A 15-year follow-up study. Clin Orthop 1984; 184: 212-16
214. Wayne SJ. The tuck position for lumbar-disc surgery. J Bone Joint Surg Am 1967; 49: 1195-8
215. Weinlander CM, Coombs DW, Plume SK. Myocardial ischemia due to obstruction of an aortocoronary bypass graft by intraoperative positioning. Anesth Analg 1985; 64: 933-6
216. Weis K. Threatening necrosis of the tip of the tongue during long-term anaesthesia in the prone position. Der Anaesthetist 1964; 13: 241
217. Weksler N, Klein M, Rozentsveig V, et al. Laryngeal mask in prone position: pure exhibitionism or a valid technique. Minerva Anestesiol 2007; 73: 33-7
218. West J, Askin G, Clarke M, Vernon SA. Loss of vision in one eye following scoliosis surgery. Br J Ophthalmol 1990; 74: 243-4
219. Wills J, Schwend RM, Paterson A, Albin MS. Intraoperative visible bubbling of air may be the first sign of venous air embolism during posterior surgery for scoliosis. Spine 2005; 30: E629-35
220. Winfree CJ, Kline DG. Intraoperative positioning nerve injuries. Surg Neurol 2005; 63: 5-18; discussion
221. Winter R, Munro M. Lingual and buccal nerve neuropathy in a patient in the prone position: a case report. Anesthesiology 1989; 71: 452-4
222. Wolfe SW, Lospinuso MF, Burke SW. Unilateral blindness as a complication of patient positioning for spinal surgery. A case report. Spine 1992; 17: 600-5
223. Wroski M, Ferber J, Wroski J. Acute tension pneumocephalus as a complication of surgical procedures of the posterior cranial fossa in prone position. Neurol Neurochir Pol 1987; 21: 167-70
224. Yang S-H, Wu C-C, Chen P-Q. Postoperative meralgia paresthetica after posterior spine surgery: incidence, risk factors, and clinical outcomes. Spine 2005; 30: E547-50
225. Yang YL, Lee YC, Lai HY, Lee Y. Nontraumatic subperiosteal orbital haemorrhage in an anaesthetised patient with surgery in the prone position. Anaesth Intensive Care 2007; 35: 142-3
226. Yokoyama M, Ueda W, Hirakawa M, Yamamoto H. Hemodynamic effect of the prone position during anesthesia. Acta Anaesthesiol Scand 1991; 35: 741-4
227. Yuen VMY, Chow BFM, Irwin MG. Severe hypotension and hepatic dysfunction in a patient undergoing scoliosis surgery in the prone position. Anaesth Intensive Care 2005; 33: 393-9
228. Ziser A, Friedhoff RJ, Rose SH. Prone position: visceral hypoperfusion and rhabdomyolysis. Anesth Analg 1996; 82: 412-5