[Cerebral infarction can be a consequence of anaesthesia in beach chair position]. / Cerebral infarkt kan være en følge af anæstesi i beach chair-position.

Performing orthopaedic surgery in beach chair position (BCP) is a common procedure in Denmark. In this case report we present a patient, who underwent standard procedure with no variations according to the general anaesthesia. The arterial blood pressure after entering BCP and during surgery was acceptable. In the recovery phase the patient did not gain full consciousness, his blood pressure turned high and he developed seizures. A. cerebri media infarction was identified, and severe brain damage was the consequence. We question the rationale for using BCP as well as the use of phenylephrine for the cerebral hypoperfusion.

[Neurogenic oropharyngeal dysphagia is a frequent condition in patients admitted to the ICU]. / Neurogen dysfagi ses hyppigt hos patienter på intensivafdelinger.

Neurogenic oropharyngeal dysphagia (NOD) is a frequent condition in neurological patients admitted to the ICU, particularly in patients with brainstem lesions. The CNS damage itself can predispose to dysphagia, but also the treatment and preventive measures may predispose to and exacerbate the condition. Frequent pneumonia in a neurological patient is a warning signal that should cause screening for dysphagia. Complications are serious and can be fatal. Neurological patients should be examined for NOD before decannulation. Treatment is difficult, so prevention and multidisciplinary neurological rehabilitation is important.