What monitors will you use for this case?
Standard monitoring is used for all spine
surgery with the addition of a urinary catheter for longer cases and
consideration for fluid replacement. Arterial monitoring may be appropriate if
the patient is significantly hypertensive and has associated disease processes.
It is also useful when there is potential for significant blood loss or cuff
pressure measurements are difficult to obtain. Central venous pres-sure
monitoring is beneficial when it provides intravascu-lar access and allows
monitoring of fluid status. Lumbar fusions may involve numerous segments and
anterior as well
Blood loss
may be exten-sive and induced hypotension is often requested to decrease
intraoperative bleeding. The adequacy of end-organ per-fusion can be estimated
with invasive monitoring, urine output of 0.5–1 cc/kg/hr, and periodic arterial
blood gas analysis monitoring for evidence of metabolic acidosis.
Neurophysiologic monitoring is often utilized when the spinal cord is at risk
during surgery.
Related Topics
Privacy Policy, Terms and Conditions, DMCA Policy and Compliant
Copyright © 2018-2024 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.