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Chapter: Clinical Cases in Anesthesia : Spine Surgery

Spine Surgery

A 54-year-old man is scheduled for lumbar laminectomy and spine fusion.

SPINE SURGERY

A 54-year-old man is scheduled for lumbar laminectomy and spine fusion. He suffered a back injury 6 years previously and has undergone two previous operations without pain relief. The patient takes oxycodone daily and is limited in his activities. He reports increased numbness in the left leg and the surgeon requests monitoring of somatosensory evoked potentials.


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Clinical Cases in Anesthesia : Spine Surgery : Spine Surgery |

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Clinical Cases in Anesthesia : Spine Surgery
Spine Surgery
What are the considerations for surgery in the prone position?
What monitors will you use for this case?
What are somatosensory and motor evoked potentials?
Describe the effects of anesthetics on somatosensory and motor evoked potentials
What is a “wake-up” test?
What is the bispectral index state (BIS)? Is monitoring the BIS useful in this case?
Is this patient at risk for postoperative vision loss?
What modalities exist for pain relief after spine surgery?


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