ABSTRACT
The last decade has seen an exponential increase in the number of arthroscopic shoulder surgeries performed. The indications for shoulder arthroscopy continue to expand and the procedures are becoming more complex. With the widening indications, more surgical complications have been described (1). Given this robust growth in numbers of arthroscopic shoulder procedures, the surgeons must continue to master their efficiency and quality of surgical procedures. This efficiency, in part, derives from the operating room (OR) set up and proper patient positioning. The two most common positions utilized in shoulder arthroscopy are beach-chair and lateral decubitus positions. The surgeon’s preference largely determines which position is used and for which procedures. Both positions have their advantages and disadvantages, requiring surgeon awareness to minimize risk and avoid complications. Regardless of the position chosen, prior to draping, the surgical team must take the time to fine-tune the patient’s position. For both positions used for shoulder arthroscopy, this chapter describes setup technique, advantages and disadvantages for each position, complications, and senior author’s (IV) rationale for position choice for different surgical procedures.
ANESTHESIA
