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However, cautious interpretation of the patient's blood pressure is essential, especially when the blood pressure cuff is placed at the calf. The calf pressure should be interpreted relative to the heart\u2010level pressure to avoid iatrogenic cerebral hypoperfusion related to hypotensive anesthesia. Possible complications of cerebral hypoperfusion are permanent neurologic impairment, stroke, and death.<\/jats:p>","DOI":"10.1016\/j.arthro.2008.02.005","type":"journal-article","created":{"date-parts":[[2008,4,2]],"date-time":"2008-04-02T12:43:13Z","timestamp":1207140193000},"page":"481-482","source":"Crossref","is-referenced-by-count":105,"title":["Avoiding Catastrophic Complications of Stroke and Death Related to Shoulder Surgery in the Sitting Position"],"prefix":"10.1002","volume":"24","author":[{"given":"Anastasios","family":"Papadonikolakis","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University Medical Center Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan R.","family":"Wiesler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University Medical Center Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Olympio","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Wake Forest University Medical Center Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary G.","family":"Poehling","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University Medical Center Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,4,1]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(88)80040-9"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.02.003"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2004.09.012"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2004.05.007"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000047272.31849.F9"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90131-0"},{"key":"e_1_2_2_8_1","first-page":"81","article-title":"Cerebral ischemic injury in the sitting position","volume":"22","author":"Cucchiara RF","year":"2007","journal-title":"Anesthesia Patient Safety Foundation Newsletter"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806308001138?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806308001138?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2008.02.005","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2008.02.005","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2008.02.005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:46:13Z","timestamp":1773564373000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2008.02.005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,4]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,4]]}},"alternative-id":["10.1016\/j.arthro.2008.02.005"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2008.02.005","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,4]]}}}