title: [Anesthetic management of 7-9th total spondylectomy for severe scoliosis].
abstract: 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.
authors.affiliation: Department of Anesthesiology, Koshigaya Hospital, Dokkyo University School of Medicine.
authors.forename: Keiko
authors.initials: K
authors.lastname: Shimizu
authors.forename: Masaru
authors.initials: M
authors.lastname: Hirakata
authors.forename: Katsumi
authors.initials: K
authors.lastname: Ogawa
authors.forename: Tomoya
authors.initials: T
authors.lastname: Terauchi
authors.forename: Takeroh
authors.initials: T
authors.lastname: Arai
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kuno
authors.forename: Hisashi
authors.initials: H
authors.lastname: Inoue
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Okuda
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D005260:Female; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods; D012600:Scoliosis / Q000601:surgery*; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000601:surgery*