Spinal protection and aortic surgery
Kakinohana, M.
Masui. Japanese Journal of Anesthesiology 58(3): 315-326
2009
ISSN/ISBN: 0021-4892 PMID: 19306632 Document Number: 629196
Motor dysfunction following thoracoabdominal aortic surgery remains as one of their devastating postoperative complications. Recently, many studies have provided information for the mechanisms of ischemic spinal cord injuries and for some strategies against spinal cord ischemia in the perioperative period. Especially, advances in stimulation technique using multipulse could make intraoperative monitoring of functional integrity of motor pathways possible by recording myogenic motor evoked potentials. We summarize the strategies for spinal cord protection, including spinal cord functional monitoring and anesthetic techniques during thoracoabdominal aortic surgery.