Anesthetic management of 7-9th total spondylectomy for severe scoliosis
Shimizu, K.; Hirakata, M.; Ogawa, K.; Terauchi, T.; Arai, T.; Kuno, Y.; Inoue, H.; Okuda, Y.
Masui. Japanese Journal of Anesthesiology 55(6): 714-716
2006
ISSN/ISBN: 0021-4892 PMID: 16780082 Document Number: 604124
Patients with scoliosis are at a great risk of perioperative problems including excessive blood loss, respiratory and circulatory failure, postoperative pain, malignant hyperthirmia and particularly, spinal cord damage. A case of a 22-year-old girl undergoing 7-9th total spondylectomy for severe scoliosis is presented. To avoid spinal cord damage, we employed deep anesthesia, wake-up test with BIS and postoperative pain management. After the surgery, the patient was transferred to ICU under deep anesthesia and controlled ventilation. The patient had no postoperative motor or sensory deficit, but further experience is needed.