Advertisement

Anesthesiological Management and Patient Positioning

  • M. R. BacchinEmail author
  • M. Di Fiore
  • Y. E. Akman
  • M. Girolami
  • R. Ghermandi
  • A. Gasbarrini
  • S. Boriani
Chapter
  • 1.1k Downloads

Abstract

Prior to the surgery, reproduction of symptoms with extension of the neck should be assessed. Extension may help for better exposure and visualization. However, the severity of stenosis may limit the amount of extension that can be tolerated by the patient. In this case, a neutral neck position must be maintained till the end of the decompression procedure.

Keywords

Brachial Plexus Retinal Artery Occlusion Central Retinal Artery Occlusion Decompression Procedure Wrist Band 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Stambough JL et al (2007) Ophthalmologic complications associated with prone positioning in spine surgery. J Am Acad Orthop Surg 15(3):156–165CrossRefPubMedGoogle Scholar
  2. 2.
    Manfredini M et al (2000) Unilateral blindness as a complication of intraoperative positioning for cervical spinal surgery. J Spinal Disord 13(3):271–272CrossRefPubMedGoogle Scholar
  3. 3.
    Yanagidate F, Dohi S (2003) Corneal abrasion after the wake-up test in spinal surgery. J Anesth 17(3):211–212CrossRefPubMedGoogle Scholar
  4. 4.
    Grinberg F, Slaughter TF, McGrath BJ (1995) Probable venous air embolism associated with removal of the Mayfield skull clamp. Anesth Analg 80(5):1049–1050PubMedGoogle Scholar
  5. 5.
    Smith PN et al (2007) Intraoperative somatosensory evoked potential monitoring during anterior cervical discectomy and fusion in nonmyelopathic patients – a review of 1,039 cases. Spine J 7(1):83–87CrossRefPubMedGoogle Scholar
  6. 6.
    Khan MH et al (2006) Intraoperative somatosensory evoked potential monitoring during cervical spine corpectomy surgery: experience with 508 cases. Spine (Phila Pa 1976) 31(4):E105–E113CrossRefGoogle Scholar
  7. 7.
    Cohan P et al (2005) Acute secondary adrenal insufficiency after traumatic brain injury: a prospective study. Crit Care Med 33(10):2358–2366CrossRefPubMedGoogle Scholar
  8. 8.
    MacDonald DB (2002) Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. J Clin Neurophysiol 19(5):416–429CrossRefPubMedGoogle Scholar
  9. 9.
    Pajewski TN, Arlet V, Phillips LH (2007) Current approach on spinal cord monitoring: the point of view of the neurologist, the anesthesiologist and the spine surgeon. Eur Spine J 16(Suppl 2):S115–S129CrossRefPubMedGoogle Scholar
  10. 10.
    Wagner RL et al (1984) Inhibition of adrenal steroidogenesis by the anesthetic etomidate. N Engl J Med 310(22):1415–1421CrossRefPubMedGoogle Scholar
  11. 11.
    Seyal M, Mull B (2002) Mechanisms of signal change during intraoperative somatosensory evoked potential monitoring of the spinal cord. J Clin Neurophysiol 19(5):409–415CrossRefPubMedGoogle Scholar
  12. 12.
    Oro J, Haghighi SS (1992) Effects of altering core body temperature on somatosensory and motor evoked potentials in rats. Spine (Phila Pa 1976) 17(5):498–503CrossRefGoogle Scholar
  13. 13.
    Sakamoto T et al (2003) The effect of hypothermia on myogenic motor-evoked potentials to electrical stimulation with a single pulse and a train of pulses under propofol/ketamine/fentanyl anesthesia in rabbits. Anesth Analg 96(6):1692–1697, table of contentsCrossRefPubMedGoogle Scholar
  14. 14.
    Gravenstein MA, Sasse F, Hogan K (1992) Effects of hypocapnia on canine spinal, subcortical, and cortical somatosensory-evoked potentials during isoflurane anesthesia. J Clin Monit 8(2):126–130CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • M. R. Bacchin
    • 1
    Email author
  • M. Di Fiore
    • 1
  • Y. E. Akman
    • 2
  • M. Girolami
    • 3
  • R. Ghermandi
    • 3
  • A. Gasbarrini
    • 3
  • S. Boriani
    • 3
  1. 1.Department of Anesthesiology, Perioperative and Pain MedicineRizzoli Orthopedic InstituteBolognaItaly
  2. 2.Orthopaedics and Traumatology DepartmentMetin Sabanci Baltalimani Bone Diseases Training and Research HospitalIstanbulTurkey
  3. 3.Oncologic and Degenerative Spine Surgery DepartmentRizzoli Orthopedic InstituteBolognaItaly

Personalised recommendations