Document Detail

Results of hypotensive anesthesia in operative treatment of thoracolumbar fractures.
MedLine Citation:
PMID:  2134446     Owner:  NLM     Status:  MEDLINE    
In a retrospective study of 109 patients who had Harrington instrumentation of thoracolumbar fractures, the results of normotensive anesthesia (75 patients) were compared with those of deliberate hypotensive anesthesia (34 patients). Estimated blood loss (EBL) and EBL per minute were significantly less (p less than 0.05) with hypotensive anesthesia. Neurological status of patients with incomplete or no deficits, monitored intraoperatively with either the Stagnara wake-up test (63 patients) or with somatosensory evoked potentials (23 patients), did not change during either the normotensive or hypotensive anesthesia. Deliberate hypotensive anesthesia is a safe and effective method for reducing blood loss during posttraumatic spinal stabilizations.
P F Ullrich; J S Keene; K J Hogan; E B Roecker
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of spinal disorders     Volume:  3     ISSN:  0895-0385     ISO Abbreviation:  J Spinal Disord     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1992-04-30     Completed Date:  1992-04-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8904842     Medline TA:  J Spinal Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  329-33     Citation Subset:  IM    
Division of Orthopedic Surgery, University of Wisconsin Clinical Science Center, Madison.
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MeSH Terms
Anesthesia, General / methods*
Blood Loss, Surgical / prevention & control*
Fracture Fixation, Internal
Hypotension / chemically induced*
Lumbar Vertebrae / surgery
Middle Aged
Retrospective Studies
Spinal Fractures / surgery
Spinal Fusion
Thoracic Vertebrae / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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