SavedAdd your journal

Journals / Journal of Turkish Spinal Surgery / 2019 / Cilt: 30 - Sayı: 1

ANESTHESIA MANAGEMENT IN ADULT SCOLIOSIS PATIENTS

AHMET SELİM ÖZKAN
MEHMET FATİH KORKMAZ
Pages
23–26
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Detailed preoperative evaluation should be performed and appropriate preparations should be planned before surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Adult scoliosis surgery management is challenging procedure for both orthopedic surgeons and anesthetists because of the long duration of surgery, difficulties in cannulation and intubation and serious bleeding.
📊
Key Findings & Data:In this retrospective study, the anesthesia records of 25 adult patients who underwent scoliosis surgery under general anesthesia between 2010 and 2013 were evaluated in the light of current literature.
💡
Conclusion & Impact:Detailed preoperative evaluation should be performed and appropriate preparations should be planned before surgery.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Özet

Introduction: Adult scoliosis surgery management is challenging procedure for both orthopedic surgeons and anesthetists because of the long duration of surgery, difficulties in cannulation and intubation and serious bleeding. In this retrospective study, the anesthesia records of 25 adult patients who underwent scoliosis surgery under general anesthesia between 2010 and 2013 were evaluated in the light of current literature. Material and Methods: Twenty-five adult patients who underwent scoliosis surgery between January 2010 and December 2013 were included in the study. Demographic data, American Society of Anesthesiologists (ASA) classification, Mallampati (MP) score, duration of anesthesia, duration of operation, amount of blood loss data were recorded. Results: The mean age of 25 patients who underwent scoliosis surgery was 26.6 ± 8.80 years. 2 (8 %) of the patients were classified as ASA I, 19 (76 %) ASA II and 4 (4 %) ASA III. MP score was I in ten (40 %) patients, and was recorded as II in 10 (40 %) patients and III in 5 (20 %) patients. The mean duration of anesthesia was 289.80 ± 81.01 minute, the mean amount of blood loss was recorded as 1162 ± 466.72 ml. Twenty (88 %) patients underwent peroperative blood transfusion. Conclusion: Anesthesia management is important in scoliosis surgery due to many complications that may develop especially because of blood loss. Detailed preoperative evaluation should be performed and appropriate preparations should be planned before surgery.

🔖

Cite This Article

ÖZKAN, A. S., KORKMAZ, M. F. (2019). ANESTHESIA MANAGEMENT IN ADULT SCOLIOSIS PATIENTS. Journal of Turkish Spinal Surgery, Cilt: 30 - Sayı: 1, 23–26. https://ajindex.com/articles/189957

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Bowen RE, Gardner S, Scaduto AA, Eagan M, Beckstead J. Efficacy of intraoperative cell salvage systems in pediatric idiopathic scoliosis patients undergoing posterior spinal fusion with segmental spinal instrumentation. Spine 2010; 15: 246-251
  2. Farber NE, Pagel SP, Warltier DC. Pulmonary pharmacology of inhaled anaesthetics. In: Miller RD (ed.) Anesthesia. 5th ed. Churchill Livingstone. Philadelphia 2000; pp:125-146.
  3. Gürkan Y, Eroğlu A, Kelsaka E, Kürşad H, Yılmazlar A. Skolyoz Cerrahisinde Anestezi. Turk J Anaesth Reanim 2013; 41: 88-97.
  4. Lentschener C, Cottin P, Bouaziz H, Mercier FC, Wolf M, Aljabi Y et al. Reduction of blood loss and transfusion requirement by aprotinin in posterior lumbar spine fusion. Anesth Analg 1999; 89: 590–597.
  5. Liu L, Xiu P, Li Q, Song Y, Chen R, Zhou C. Prevalence of cardiac dysfunction and abnormalities in patients with adolescent idiopathic scoliosis requiring surgery. Orthopedics 2010; 1: 21-28.
  6. Lök V, Önçağ H, Yüce N.Türkiye hakkında skolyoz insidensi. Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı. 1980 Ankara; pp: 86-90.
  7. McMaster MJ, Glasby MA, Singh H, Cunningham S. Lung function in congenital kyphosis and kyphoscoliosis. Spinal Disord Tech 2007; 20 (3): 203-208.
  8. Sutter M, Deletis V, Dvorak J, Eggspuehler A, Grob D, Macdonald D, Sala F, Tamaki T. Current opinions and recommendations on multimodal intraoperative monitoring during spine surgeries. Eur Spine J 2007; 16: 232-233.
  9. Tzortzopoulou A, Cepeda MS, Schumann R, Carr DB. Antifibrinolytic agents for reducing blood loss in scoliosis surgery in children. Cochrane Database Syst Rev 2008; 16: CD006883.