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Early Recognition of a Transient Ischemic Attack Utilizing Cerebral Oxygenation Monitoring During Shoulder Surgery in the Beach Chair Position: A Case Report


Aguirre, José A; Mohajeri, Minou S; Rupnik, Barbara; Brada, Muriel; Rosskopf, Andrea B; Meyer, Dominik C; Eichenberger, Urs; Borgeat, Alain (2019). Early Recognition of a Transient Ischemic Attack Utilizing Cerebral Oxygenation Monitoring During Shoulder Surgery in the Beach Chair Position: A Case Report. A & A Practice, 13(5):176-180.

Abstract

Shoulder surgery in the beach chair position is routinely performed, and central neurological events are rare but potentially devastating. We present a patient with transient neurological deficits after a sudden blood pressure drop with a simultaneous decrease of regional cerebral saturation values registered by cerebral oximetry. We reviewed published cases and proposed possible strategies to prevent the occurrence of similar complications in this context.

Abstract

Shoulder surgery in the beach chair position is routinely performed, and central neurological events are rare but potentially devastating. We present a patient with transient neurological deficits after a sudden blood pressure drop with a simultaneous decrease of regional cerebral saturation values registered by cerebral oximetry. We reviewed published cases and proposed possible strategies to prevent the occurrence of similar complications in this context.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2019
Deposited On:12 Feb 2020 13:06
Last Modified:29 Jul 2020 10:43
Publisher:Wolters Kluwer
ISSN:2575-3126
OA Status:Closed
Publisher DOI:https://doi.org/10.1213/XAA.0000000000001027
PubMed ID:31045588

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