Evaluation of Respiratory Mechanics in Supine and PARK-bench Positions (SPARK)

Launched by FONDAZIONE POLICLINICO UNIVERSITARIO AGOSTINO GEMELLI IRCCS · Jun 3, 2024

Keywords

ClinConnect Summary

The Park-Bench position is a variant of the lateral position used in neurosurgical interventions where lesions of the posterior cranial fossa and ponto-cerebellar angle need to be approached. The patient is placed in a lateral-oblique position with the arm on the side they are lying on extending out of the operating bed and supported by an external support. The head is fixed in flexion and rotation with the Mayfield headrest immobilizing the head, allowing exposure of the surgical region of interest.

In the lateral decubitus position, several factors contribute to changing respiratory mech...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age \>18
• • Patients scheduled for elective neurosurgery in Park-Bench position.
• Exclusion Criteria:
• • Age \< 18
• • BMI \> 30 kg/m2
• • Obstructive or restrictive lung disease with oxygen supplementation
• • Pacemaker
• • Pregnancy
• • Absence of history of pulmonary embolism, thoracic surgery or chest wall abnormalities, organ transplant, lung metastases
• • New York Heart Association \>2 or hemodynamic instability (Mean Arterial Pressure\<60mHg)