Document Detail


Anaesthesia for surgical correction of scoliosis with spinal cord monitoring--a case series.
MedLine Citation:
PMID:  15623183     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To share our experience of anaesthetic management of scoliosis with intra-operative somatosensory evoked potential monitoring and wake up test. METHODS: All the cases of scoliosis surgery scheduled during a period of two years in which SSEP and intra-operative wake-up test was planned were included in the study. The patient in which intra-operative wake-up test was not planned were excluded from this case series. RESULTS: We managed a series of sixteen cases of scoliosis in our hospital. Eleven patients were female and five were male with the age ranging from six to twenty two years. SSEPs were monitored throughout the procedure and wake up test was done intra-operatively after surgical manipulation of spinal cord. Intra-operative wake-up test was completed successfully in all the patients. None of the patients had any neurological damage and were also successfully extubated at the end of procedure. CONCLUSION: Intra-operative wake up test and SSEP monitoring are reliable methods for detection of intra-operative spinal cord ischemia during scoliosis surgery.
Authors:
M Q Hoda; S U Zafar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  54     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-29     Completed Date:  2005-02-01     Revised Date:  2008-02-12    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  565-70     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Aga Khan University Hospital, Karachi.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anesthesia, General
Child
Evoked Potentials, Somatosensory*
Female
Humans
Male
Monitoring, Intraoperative*
Scoliosis / surgery*

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