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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 4

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Rev Esp Med Quir 2014; 19 (4)

Anaesthesia for spinal surgery in adults

gUgalde-Manrique C, Jacuinde-Ávila JL, Rosas-Barrientos JV

Language: Spanish
References: 52
Page: 438-445
PDF size: 452.56 Kb.


ABSTRACT

In the last decades, spinal surgery in Mexico has advanced in an impressive way, with incoming of minimal invasion procedures and percutaneous approaches, and, besides this, we are still performing major procedures of multiple levels, for anatomical correction surgery or tumor resection. Most of the times, neurophysiologic monitoring is routinely used in these surgeries, so, the anesthesiologist must be familiarized with the anesthetic technique of choice, the working drugs and the position of the patient, which are conditions that the anesthesiologist is able to modify, and may benefit the final result of the surgery. The pre-anesthetic evaluation should be specially focused on respiratory, cardiovascular, motor and sensitive systems, as well as to the airway, which is frequently difficult to manage, due to different co-morbidities in this kind of patients. Prone is the most frequently position used in spine surgery. That´s why the physiological effects of this position, how to diminish the incidence of respiratory complications, and even the bleeding during the surgery will be described. The monitoring may be different, according to the type of surgery or the chosen anesthesic technique. Analgesia for spine surgery depends on the type of surgical approach, and then analgesia is commonly multimodal.


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