Beach Chair Position Anaesthesia. The beach chair position [bcp] is extensively used as a routine approach for shoulder surgery in australia, new zealand and around the world. Level iv, study of nonconsecutive patients without consistently applied reference gold standard.
Injuries to the brachial plexus are reduced compared to the lateral decubitus position. Cerebral oximetry desaturation during shoulder surgery performed in a sitting position under regional anesthesia. There were no neurological deficits but patients with cdes showed a greater negative impact on neurobehavioral tests.
2 patients are placed upright at angles varying from 30 to 90 degrees above the horizontal plane (see figs.
Anaesthesia was maintained with sevoflurane and nitrous oxide in oxygen. The mechanism of neurologic injury in the beach chair position is unknown but , Yoo1 1department of anesthesiology and pain medicine, chonnam national university medical school, gwangju, south korea, 2department of physiology, chonnam national university medical school, gwangju. Open shoulder surgery or arthroscopy performed in the sitting position under interscalene block may be complicated by episodes of bradycardia or hypotension, or both, which occurs in up to 20% of cases.