Certified Surgical Technologist (CST) Practice Exam

In which position are most neurosurgical procedures carried out?

1. Supine

2. Semi fowler's

3. Lithotomy

4. Trendelenburg

The correct answer is: Supine

Most neurosurgical procedures are carried out in the supine position. This position allows for optimal access to the head and neck region, which is crucial for performing procedures that involve the brain and surrounding structures. The supine position provides a stable platform for the surgical team, facilitates proper alignment of the patient’s head with the surgical field, and ensures adequate blood flow and ventilation. Furthermore, the supine position aids in maintaining the patient's safety and comfort during extended surgeries. It also allows for various access techniques to be employed, including the use of head fixation devices that can secure the patient's head to prevent movement during the procedure, improving the overall precision of neurosurgical techniques. Other positions like semi-fowler's, lithotomy, and Trendelenburg are utilized for different types of surgeries but are not ideal for accessing the cranium or spine effectively, which is why they are less common in neurosurgical procedures. Each of these positions serves specific surgical needs but does not provide the same level of access to the neural structures as the supine position does.