[Spinal protection and aortic surgery].
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.
Kakinohana
Manabu
M
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0215.
D000758:Anesthesia / Q000379:methods; D001014:Aortic Aneurysm / Q000601:surgery*; D019054:Evoked Potentials, Motor; D006801:Humans; D016343:Monitoring, Intraoperative; D010264:Paraplegia / Q000517:prevention & control; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control*; D020760:Spinal Cord Ischemia / Q000517:prevention & control*