Anesthetic considerations for a novel anterior surgical approach to pediatric scoliosis correction

Gal, Jonathan S.; Curatolo, Christopher J.; Zerillo, Jeron; Hill, Bryan; Lonner, Baron; Cuddihy, Laury; Antonacci, M. Darryl; Betz, Randal R.; DeMaría, Samuel; Khelemsky, Yury

doi:10.1111/pan.13216

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Propofol has less of a depressant effect on MEPs, and total intravenous anesthesia (TIVA) using propofol in combination with an opioid is commonly recommended for MEP monitoring. 41,77,78 However, propofol, too, can significantly attenuate or abolish MEPs. 79 In contrast to the inhalational agents, for which the blood concentration is monitored indirectly by measuring the exhaled concentration of the gas, the blood concentration of propofol (as well as the other intravenous agents) is not measured in clinical practice.…”

Section: Anesthetic Effectsmentioning

confidence: 99%

Intraoperative Monitoring of Scoliosis Surgery in Young Patients

Manning,

Emerson

2024

Journal of Clinical Neurophysiology

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Summary: Intraoperative neurophysiologic monitoring has added substantially to the safety of spinal deformity surgery correction since its introduction over four decades ago. Monitoring routinely includes both somatosensory evoked potentials and motor evoked potentials. Either modality alone will detect almost all instances of spinal cord injury during deformity correction. The combined use of the two modalities provides complementary information, can permit more rapidly identification of problems, and enhances safety though parallel redundancy should one modality fail. Both techniques are well established and continue to be refined. Although there is room for provider preference, proper monitoring requires attention to technical detail, understanding of the underlying physiology, and familiarity with effects of commonly used anesthetic agents.

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