[Anesthetic management of 7-9th total spondylectomy for severe scoliosis].
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.
Shimizu
Keiko
K
Department of Anesthesiology, Koshigaya Hospital, Dokkyo University School of Medicine.
Hirakata
Masaru
M
Ogawa
Katsumi
K
Terauchi
Tomoya
T
Arai
Takeroh
T
Kuno
Yuichiro
Y
Inoue
Hisashi
H
Okuda
Yasuhisa
Y
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*