Another approach for Prone positioning under general anaesth
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Rotation and overextension of neck movement during prone positioning may impair blood flow in carotid and vertebral arteries that may lead to serious consequences such as cerebral and cerebellar infarction,hemiparesis,quadriplegia and phrenic nerve injuryThere are few patients who are prone to such complications due to the presence of pre-existing conditions such as unrecognised stenosis of carotid or vertebral arteries, presence of cervical osteophytes and vascular atherosclerosis.Hypotension during positioning, the absence of monitoring and transient incomplete or complete occlusion of these vessels may lead to thrombosis and embolism.Intensive precautions and application of different modalities for prone positioning in surgical patients with known cervical pathology have been advocated...

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