title: Intraoperative wake-up test in a deaf-mute adolescent undergoing scoliosis surgery.
abstract: We present our experience in intraoperative wake-up test in a deaf-mute feminine teenager who underwent spine surgery for correction of lordoscoliosis. Inadequate comprehension of the preoperative instructions, together with higher threshold of arousal in deaf-mutism may possibly contribute to lingering of the test. The report implicated direct, painful stimulation of the tested limbs, rather than indirect cues, such as flap on the dorsum of hands would be required for performance of wake-up test in the deaf-mute patients.
authors.affiliation: Department of Anesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan, R.O.C. ycchu@vghtpe.gov.tw
authors.forename: Yi-Chun
authors.initials: YC
authors.lastname: Chen
authors.forename: Chien-Kun
authors.initials: CK
authors.lastname: Ting
authors.forename: Mei-Yung
authors.initials: MY
authors.lastname: Tsou
authors.forename: Kwok-Hon
authors.initials: KH
authors.lastname: Chan
authors.forename: Ya-Chun
authors.initials: YC
authors.lastname: Chu
mesh_terms: D000293:Adolescent; D003638:Deafness / Q000150:complications*; D005260:Female; D006801:Humans; D058926:Intraoperative Awareness; D016343:Monitoring, Intraoperative; D012600:Scoliosis / Q000601:surgery*