Evidence map›Paper›PMID 40271292›Full record

ArticleCureus2025

Anesthesiology Considerations and Management of Venous Air Embolism in Patients in the Semisitting Position: A Single-Center Review.

Nicholas Drosos, Seth Jacob, Niaman Nazir, Arun S George

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nicholas DrososAnesthesiology, University of Kansas Medical School, Kansas City, USA.
Seth JacobAnesthesiology, University of Kansas Medical Center, Kansas City, USA.
Niaman NazirPopulation Health, University of Kansas Medical Center, Kansas City, USA.
Arun S GeorgeAnesthesiology, University of Kansas Medical Center, Kansas City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe semisitting position is often preferred for neurosurgical procedures requiring access to the cerebellopontine angle or posterior fossa. Despite benefits such as improved venous drainage and reduced intracranial pressure, its use has been controversial due to risks like venous air embolism. Recent advancements in intraoperative monitoring and management have caused renewed interest in this position. This study reviews our institution's experience, focusing on strategies to mitigate complications and improve outcomes in semisitting craniotomies. MATERIALS AND

methodsNinety-four consecutive adult patients who underwent intracranial neurosurgery in the semisitting position were enrolled in the study. The surgery and anesthesiology reports were reviewed to extract data regarding demographics, intraoperative monitoring, and postoperative complications. For each patient who experienced a venous air embolism, an additional set of hemodynamic data was collected. Data management and statistical analyses were performed using Statistical Analysis System (SAS) software (version 9.4, 2023, SAS Institute Inc., Cary, NC, USA).

resultsVenous air embolism occurred in a total of 21 patients (22.34%). Out of these 21 patients, one experienced a venous air embolism that coincided with a decrease in end-tidal carbon dioxide

conclusionThe semisitting position remains a valuable approach in neurosurgery. We identified multiple factors important in reducing the risk of complications and managing them when they occur. Robust anesthesia guidelines should be developed so that this modality can be used more broadly.

Indexed as

craniotomyneurosurgical positioningsemisitting positiontransesophageal echocardiographyvenous air embolism

Identifiers

PMID40271292
PMCPMC12017614

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.