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Scoliosis surgery anesthetic treatment

David W Polly, Kent Rice, Arvydas Tamkus
INTRODUCTION: There is variability in intraoperative neuromonitoring (IONM), anesthetic and surgical techniques for the treatment of pediatric spinal deformity. This study evaluates a series of patients treated at multiple centers utilizing transcranial motor and somatosensory evoked potentials (TcMEP and SSEP) and electromyography (EMG). The frequency of alerts and the intraoperative follow-up is reported. METHODS: Standard patient demographics and IONM data were collected from a two-month cohort of pediatric spine deformity cases...
March 2016: Neurodiagnostic Journal
Dino Samartzis, Cora Bow, Jason Pui Yin Cheung, Phoebe Sham, Kin-Cheung Mak, Wai-Yuen Cheung, Yat-Wa Wong, Keith D K Luk, Kenneth M C Cheung, Jean-Claude Lawmin
Study Design Randomized controlled trial. Objective Adolescent idiopathic scoliosis (AIS) is a common spinal deformity that affects every population. In severe deformity, surgical intervention is performed. Autogenous iliac crest bone graft (ICBG) harvesting remains a common procedure worldwide for scoliosis surgery. Postoperative pain at the ICBG donor site is a major concern in patients undergoing spine surgery that affects postoperative functional outcome and consumes health care resources. Previous studies have noted a decrease in pain and postoperative analgesic use with the application of continuous infusion of anesthetic at the ICBG site in comparison with placebo...
May 2016: Global Spine Journal
Misa Emura, Hideaki Ishii, Hiroshi Baba
Congenital myasthenic syndromes (CMS) are heterogeneous disorders of neurotransmission caused by genetic mutations of neuromuscular junction molecules. We report anesthetic management of a CMS patient who was a 14-year-old boy with endplate acetylcholinesterase deficiency. The patient used noninvasive positive pressure ventilation (NPPV) at night. He underwent a corrective maneuver for severe scoliosis under general anesthesia. General anesthesia was maintained using propofol and remifentanil. Intraoperative mechanical ventilation remained stable...
August 2014: Masui. the Japanese Journal of Anesthesiology
Ozgur Dede, Etsuro K Motoyama, Charles I Yang, Rebecca L Mutich, Stephen A Walczak, Austin J Bowles, Vincent F Deeney
BACKGROUND: VEPTR (vertical expandable prosthetic titanium rib) expansion thoracoplasty is used to manage thoracic insufficiency syndrome in early-onset scoliosis. Literature regarding the effects of this technique on pulmonary function is scarce. The aim of this study was to report the intermediate-term results of VEPTR expansion thoracoplasty. METHODS: Twenty-one children with thoracic insufficiency syndrome underwent VEPTR expansion thoracoplasty from 2002 to 2012 and had complete chart data, preoperative and follow-up radiographs, and pulmonary function tests performed at the index implantation, first expansion, and last expansion...
August 6, 2014: Journal of Bone and Joint Surgery. American Volume
Wai Weng Yoon, Fady Sedra, Suken Shah, Colin Wallis, Francesco Muntoni, Hilali Noordeen
STUDY DESIGN: Case series. OBJECTIVE: To determine whether there is improvement in pulmonary function in children with early-onset scoliosis (EOS) using magnetic growth rods (MGRs). SUMMARY OF BACKGROUND DATA: EOS deformities have large impacts on lung function and volumes. Deterioration of pulmonary function in scoliosis is multifactorial, including severity, location of apex vertebra, and medical comorbidities. MGR insertion has benefits including reduction in operative procedures with repeated anesthetics, cost-effectiveness, and minimizing surgical and psychological distress...
July 1, 2014: Spine
Richard A K Reynolds, Julie E Legakis, Jillian Tweedie, Youngkey Chung, Emily J Ren, Patricia A Bevier, Ronald L Thomas, Suresh T Thomas
Spinal fusion surgery is a major surgery that results in severe postoperative pain, therefore pain reduction is a primary concern. New strategies for pain management are currently under investigation and include multimodal treatment. A 3-year retrospective analysis of patients with idiopathic scoliosis undergoing spinal fusion surgery was performed at our hospital, assessing patient pain scores, opioid use, and recovery. We evaluated the effect of adding continuous infusion of local anesthetics (CILA) to a postoperative pain management protocol that includes intraoperative intrathecal morphine, as well as postoperative patient-controlled analgesia and oral opioid/acetaminophen combination...
March 2013: Global Spine Journal
Félix Tomé-Bermejo, Enrique Garrido, Michael Glasby, Sharon Thinn
STUDY DESIGN: Case report. OBJECTIVE: To report a case of a true-positive isolated somatosensory evoked potential (SSEP) loss with preservation of motor evoked potential (MEP) response during scoliosis correction. SUMMARY OF BACKGROUND DATA: Combined intraoperative monitoring uses SSEPs and MEPs to decrease the probability of observing false-negative events. In combination, SSEPs and MEPs have become a standard of care for spinal deformity surgery...
January 1, 2014: Spine
Aleksandra B Lesniak, Pierre Tremblay, Bernard J Dalens, Maryse Aucoin, Pierre Mercier
BACKGROUND: This retrospective cohort study was designed to assess the impact of intrathecal morphine compared with no intrathecal morphine on blood loss and on hemodynamic stability during surgery for pediatric idiopathic scoliosis correction. METHODS: A retrospective review was done of 256 anesthetic charts who underwent scoliosis surgery between January 1993 and February 2012 by the same orthopedic surgeon. 128 patients were operated on before 2003 without intrathecal morphine (NITM group) and 128 were treated later on with intrathecal morphine (ITM group)...
March 2013: Paediatric Anaesthesia
Anshuman Sharma, Danielle Tallchief, Jane Blood, Thomas Kim, Amy London, Evan D Kharasch
BACKGROUND: Methadone is frequently administered to adults experiencing anesthesia and receiving pain treatment. Methadone pharmacokinetics in adults are well characterized, including the perioperative period. Methadone is also used in children. There is, however, no information on methadone pharmacokinetics in children of any age. The purpose of this investigation was to determine the pharmacokinetics of intravenous methadone in children undergoing surgery. Perioperative opioid-sparing effects were also assessed...
December 2011: Anesthesiology
Ki Jinn Chin, Anahi Perlas, Vincent Chan, Danielle Brown-Shreves, Arkadiy Koshkin, Vandana Vaishnav
BACKGROUND: Poor surface anatomic landmarks are highly predictive of technical difficulty in neuraxial blockade. The authors examined the use of ultrasound imaging to reduce this difficulty. METHODS: The authors recruited 120 orthopedic patients with one of the following: body mass index more than 35 kg/m² and poorly palpable spinous processes; moderate to severe lumbar scoliosis; or previous lumbar spine surgery. Patients were randomized to receive spinal anesthetic by the conventional surface landmark-guided technique (group LM) or by an ultrasound-guided technique (group US)...
July 2011: Anesthesiology
Kyoko Yamaguchi, Masakazu Sumitomo
A 12-year-old girl with severe scoliosis underwent an operative procedure for correction of her spine deformity. Spinal cord injury is one of the most feared complications of scoliosis surgery. Therefore, it is necessary to detect spinal injury as early as possible. Intraoperative wake-up test is used to monitor spinal cord function during surgery. We used an intraoperative wake-up test with the concept of target-controlled infusion and total intravenous anesthesia (propofol and remifentanil). The use of Bispectral Index monitoring as a measure of depth of anesthesia enabled the patient to awake rapidly and consequently we did an immediate evaluation of muscle strength of lower extremities...
December 2010: Masui. the Japanese Journal of Anesthesiology
Elizabeth Demers Lavelle, William F Lavelle, Ryan Goodwin, David Gurd, Thomas Kuivila, George Youssef, Julie Niezgoda
STUDY DESIGN: Retrospective chart review. OBJECTIVE: To determine the effectiveness of epidural analgesia in scoliosis patients with an opened (violated) spinal canal. BACKGROUND: Postoperative continuous epidural analgesia using local anesthetics and/or opioids has been described with good success after posterior scoliosis correction. One of the concerns with the use of epidural catheters for pain control is the reliability and distribution of analgesic medication when the epidural space is violated intraoperatively by Smith-Petersen osteotomies or placement of multiple sublaminar wires...
July 2010: Journal of Spinal Disorders & Techniques
Pierre Pandin, Lionel Haentjens, Jean Corentin Salengros, Jeam Quintin, Luc Barvais
Anterior spine fusion by thoracotomy is indicated for the treatment of idiopathic scoliosis. Although epidural (EP) analgesia represents the most effective way to provide adequate analgesia after thoracotomy, scoliosis patients have substantial anatomic variations that make EP catheter placement more difficult and often contraindicated. This case report describes a safe, effective technique for placing a thoracic EP catheter in a young patient undergoing anterior spine fusion surgery by thoracotomy. The procedure was guided by both ultrasound (US) and electrical stimulation of the Tuohy needle and catheter...
May 2009: Pain Practice: the Official Journal of World Institute of Pain
Etsuro K Motoyama, Charles I Yang, Vincent F Deeney
The effect on pulmonary function of serial VEPTR expansion thoracoplasty was studied longitudinally in anesthetized children with spondylothoracic dysplasia using a special mobile unit. The median age of 24 children at the start of surgery was 4.6 years (1.8-10.8) and most exhibited a moderate-to-severe restrictive lung defect. After a median of 3.2 years (1.0-6.5), their forced vital capacity (FVC) was found to have increased by an average of 11.1%/year. The rate of increase was greater in children who were younger than 6 years at the start of the study than in older children (14...
March 2009: Paediatric Respiratory Reviews
Hiroki Hirabayashi, Jun Takahashi, Hiroyuki Hashidate, Nobuhide Ogihara, Atsutoshi Tashiro, Hiromichi Misawa, Sohei Ebara, Katsuhiro Mitsui, Shinji Wakabayashi, Hiroyuki Kato
BACKGROUND: In degenerative lumbar spinal disease with nerve root compression, the L5 and S1 nerve roots are the most often affected and the L3 nerve root is involved infrequently. The purpose of this study was to investigate the characteristics of L3 nerve root radiculopathy. METHODS: Seventeen consecutive patients with L3 radiculopathy were treated. The symptomatic nerve roots were determined by the pain distribution, the neurologic findings, and selective nerve root injection...
July 2009: Surgical Neurology
Samuel Abraham Joseph, Ketevan Berekashvili, Marjorie M Mariller, Michael Rivlin, Krishn Sharma, Andrew Casden, Fabian Bitan, Paul Kuflik, Michael Neuwirth
STUDY DESIGN: A retrospective review. OBJECTIVE: To review the effectiveness of blood conservation techniques in the spinal fusion of patients that refuse blood transfusion; specifically the Jehovah's witnesses population. SUMMARY OF BACKGROUND: Spinal surgery can be challenging in patients refusing blood transfusion. There is paucity in the literature examining blood conservation techniques in spinal surgery. METHODS: The radiographic and medical records of 19 Jehovah's witnesses patients who underwent spinal deformity surgery at a single institution between 2000 and 2003 were reviewed...
October 1, 2008: Spine
Amer F Samdani, Andrew Torre-Healy, JahanGir Asghar, Andrew M Herlich, Randal R Betz
In this chapter, we review current techniques employed to decrease blood loss and describe the effective use of a unique bipolar electrocautery device in a patient with neuromuscular scoliosis undergoing posterior spinal fusion (PSF). The reduction of blood loss and subsequent elimination of allogeneic blood transfusion is a desired outcome in all surgeries and is a major concern during PSF. In the child or adolescent with neuromuscular scoliosis, this becomes a greater concern due to a variety of factors such as the inability of the musculature to compress blood vessels, extensive surgical exposure, and the duration of the operation...
2008: Surgical Technology International
Sudha Indu Singh, Chris Brooks, Wjotech Dobkowski
PURPOSE: Due to cardiovascular and skeletal abnormalities, anesthetic management of parturients with Marfan's syndrome can be particularly challenging. Parturients with aortic root dilatation are at risk for aortic dissection. We describe the anesthetic management of a parturient with Marfan's syndrome and aortic root dilatation, who required general anesthesia for Cesarean delivery. CLINICAL FEATURES: At 26 weeks gestation, a nulliparous woman with Marfan's syndrome presented to the Anesthesia Clinic...
August 2008: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Fu-Chao Liu, Jiin-Tarng Liou, Allen H Li, Hung- Chiou, Yuan-Ji Day
Acute parotid gland enlargement in association with general anesthesia is rare and has also been called anesthesia mumps. We present two patients who were scheduled for lumbar spine surgery under general anesthesia. Each developed acute unilateral parotid gland enlargement over one side of the face proven by sonography. Case 1: A 52-year-old man was scheduled for his third lumbar spine to first sacral spine surgery for scoliosis and spondylolisthesis. The patient was provided general anesthesia with oral endotracheal intubation and placed in the prone position with the neck flexed at approximately 10 degrees...
September 2007: Chang Gung Medical Journal
Steven P Cohen, Zahid H Bajwa, Jan J Kraemer, Anthony Dragovich, Kayode A Williams, Joshua Stream, Anthony Sireci, Giselle McKnight, Robert W Hurley
BACKGROUND AND OBJECTIVES: The concept of radiofrequency denervation has recently come under question in light of several studies showing minimal to no benefit. One possibility proposed for these negative outcomes is poor selection criteria. Unlike virtually all other spine interventions, the factors associated with success and failure for cervical facet denervation have yet to be determined. The purpose of this study is to determine which demographic, clinical and treatment factors are associated with cervical facet radiofrequency denervation outcomes...
November 2007: Regional Anesthesia and Pain Medicine
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