Anesthetic management with total intravenous anesthesia for intraoperative wake-up test in pediatric scoliosis surgery
Yamaguchi, K.; Sumitomo, M.
Masui. Japanese Journal of Anesthesiology 59(12): 1522-1525
2010
ISSN/ISBN: 0021-4892 PMID: 21229696 Document Number: 641723
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.