Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12404
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dc.contributor.authorEllard, Louiseen
dc.contributor.authorWong, David Ten
dc.date.accessioned2015-05-16T02:05:57Z
dc.date.available2015-05-16T02:05:57Z
dc.date.issued2014-12-01en
dc.identifier.citationCurrent Opinion in Anaesthesiology; 27(6): 635-42en
dc.identifier.govdoc25254571en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/12404en
dc.description.abstractFor patients requiring surgery in the prone position, an alternative to a traditional supine induction is allowing the patient to position themselves comfortably prone and inducing anesthesia in that position. The purpose of this review is to examine the current literature and evaluate the safety of induction of anesthesia in the prone position.The first randomized trial comparing induction in the supine vs. prone position for patients requiring spinal surgery was published earlier this year and reported a time-saving benefit. Multiple case series report the feasibility of this approach; however, the potential benefits of prone induction, namely a reduction in pressure injuries and avoidance of complications of the turn itself, remain unproven. Increased familiarity with prone insertion of supraglottic airways is a useful tool in case of accidental intraoperative extubation in a patient who is already prone. Potential disadvantages include loss of the airway during induction, reduced ability to manage adverse hemodynamic consequences of induction and restriction to use of a supraglottic airway.The reviewed literature shows that elective prone induction of anesthesia using supraglottic airways, in select patients, is feasible and associated with very low complication rates; however, there is insufficient evidence to suggest that this should be done routinely.en
dc.language.isoenen
dc.titleShould we induce general anesthesia in the prone position?en
dc.typeJournal Articleen
dc.identifier.journaltitleCurrent opinion in anaesthesiologyen
dc.identifier.affiliationDepartment of Anaesthesia, Austin Health, Victoria, Australia bDepartment of Anesthesia, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canadaen
dc.identifier.doi10.1097/ACO.0000000000000123en
dc.description.pages635-42en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/25254571en
dc.type.austinJournal Articleen
local.name.researcherEllard, Louise
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.languageiso639-1en-
crisitem.author.deptAnaesthesia-
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