TY - JOUR AU1 - Muzumdar, Dattatraya AB - Childs Nerv Syst (2010) 26:731–732 DOI 10.1007/s00381-010-1138-6 LETTER TO THE EDITOR Surgery in sitting position in patient with ventriculoperitoneal shunt in situ may be hazardous! Childs Nerv Syst 2009; 25(12):1531–2. Letter to Editor Dattatraya Muzumdar Received: 16 March 2010 /Accepted: 22 March 2010 /Published online: 15 April 2010 Springer-Verlag 2010 Dear Editor The early detection and prompt treatment of air I read with interest the letter by Prabhakar et al. entitled embolism in sitting position are possible. It has been ‘Surgery in the sitting position in patient with ventriculoper- possible largely due to useful adjuncts like precordial itoneal shunt in situ may be hazardous! Childs Nerv Syst doppler, capnography, pulmonary artery catheter, and 2009:25:1531–1532’. The authors mention that ventriculo- transoesophageal echocardiography [4, 5]. Brain stem peritoneal shunt tube in situ may have resulted in a large handling requiring prolonged mechanical ventilation fol- pneumocephalus along with a high parietal extradural lowing surgery and seizures has been reported as a hematoma. They recommend avoidance of sitting position in causation of sitting position during surgery [6]. patients with ventriculoperitoneal shunt in situ. They also A patient with a large-sized pineal region tumor with mention that the presence of a shunt tube is TI - Surgery in sitting position in patient with ventriculoperitoneal shunt in situ may be hazardous! Childs Nerv Syst 2009; 25(12):1531–2. Letter to Editor JF - Child's Nervous System DO - 10.1007/s00381-010-1138-6 DA - 2010-04-15 UR - https://www.deepdyve.com/lp/springer-journals/surgery-in-sitting-position-in-patient-with-ventriculoperitoneal-shunt-5S0fnuxcmb SP - 731 EP - 732 VL - 26 IS - 6 DP - DeepDyve ER -