More on lumbo-sacral spine surgery and bradycardia

Mandal, N. G.

doi:10.1007/bf03018898

Cited by 13 publications

(13 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The dural handling during electrocautery was noted during these changes. Similarly, in the second case , [12] a young male (36 years) patient developed 2 episodes of severe bradycardia (<30 bpm) during L4/L5 discectomy under general anesthesia. [12] Due to the persistence and severity of bradycardia, atropine was given intravenously.…”

Section: Resultsmentioning

confidence: 99%

The negative chronotropic effect during lumbar spine surgery

Chowdhury

Schaller

2017

Medicine

View full text Add to dashboard Cite

Background:Hemodynamic perturbations in spine surgeries are predominantly reported in cervical and thoracic level procedures. The literature related to negative cardiovascular changes (decrease of heart rate and blood pressure) in lumbar spine procedures is still scarce and only highlighted in few case reports/letters until now.Methods:With the help of a systematic literature review with predefined criteria, we, therefore, examined and synthesized here the probable underlying common cause of these hemodynamic disturbances in lumbar spine surgeries. Data aggregation to a model was done by a case survey method and established by a cause–effect relationship.Results:There are only 5 cases that met our strict predefined criteria and that were aggregated to an emergent model of an autonomous reflex arc.Conclusion:This review and consecutive data aggregation provides, for the first time, a concept of spinal cardiac reflex in lumbar spine surgeries.

show abstract

Section: Resultsmentioning

confidence: 99%

The negative chronotropic effect during lumbar spine surgery

Chowdhury

Schaller

2017

Medicine

View full text Add to dashboard Cite

show abstract

“…The cardiovascular changes in our case report were similar to the cardiovascular changes reported by various authors during lumbar spine surgery. [4567] In a systemic review by Chowdhury and Schaller spinal-cardiac reflex, a new entity has been described for the negative chronotropic effects during lumbar spine surgery. [8] In almost all case scenarios, bradycardia was noted, but hypotension was less frequently reported.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular changes and lumbar spine surgery: A neglected entity

2019

View full text Add to dashboard Cite

Cardiovascular changes following lumbar spine surgeries in the prone position have been less commonly described. Here, we report a case of an elderly male patient undergoing lumbar spine decompression and transforaminal interbody fusion who developed multiple but transient episodes of hypotension and bradycardia. Anesthesiologist should be vigilant while monitoring such patients and should use invasive blood pressure monitoring if possible, so as to detect transient cardiovascular episodes which may progress and results in a dreadful outcome.

show abstract

“…We present a case where we observed intermittent bradycardia directly associated with surgical manoeuvres followed by critical changes in somatosensory evoked potentials. There are several reports of severe bradycardia or asystole during intervertebral disc space distraction and placement of an expandable interbody cage [2][3][4][5]. However, we present the first case in which severe bradycardia and subsequent somatosensory evoked potential decrement was noted.…”

Section: Introductionmentioning

confidence: 74%

Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion

Pedersen

Tavanaiepour

et al. 2020

Anaesthesia Reports

View full text Add to dashboard Cite

During a transforaminal lumbar interbody fusion a patient experienced acute intermittent bradycardia with manipulation of the intervertebral body space, followed by loss of somatosensory evoked potentials that did not recover. Postoperative evaluation revealed new bilateral lower extremity sensory and motor deficits. We postulate an afferent reflex arc to explain this and other reported instances of bradycardia and asystole during transforaminal lumbar interbody fusion surgery. Awareness of the association between bradycardia during lumbar spine surgery may alert anaesthetists, surgeons and neuromonitoring teams to impending neurological harm.

show abstract

More on lumbo-sacral spine surgery and bradycardia

Cited by 13 publications

References 1 publication

The negative chronotropic effect during lumbar spine surgery

The negative chronotropic effect during lumbar spine surgery

Cardiovascular changes and lumbar spine surgery: A neglected entity

Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion

Contact Info

Product

Resources

About