MODERN TECHNOLOGIES OF ANESTHESIOLOGIC MANAGEMENT IN SURGERY FOR SCOLIOSIS OF CHILDREN AND ADOLESCENTS
Abstract
Authors analyzed the results of two-staged scoliosis surgery in 105 patients aged 4 to 18 years. Anterior and posterior spine surgical interventions were subsequently performed in a single day under three various types of anesthesia management. Hemodynamic characteristics and levels of blood cortisol, lactate and glucose were studied. It was established that application of anesthesia variants with clofelin stress-protector permitted to reduce considerably the manifestation of operation stress, to reduce fentanyl dose up to 50%, to shorten the period of postoperative APV, terms of conscience restoration, cough reflex and extubation with preservation of effective analgesia. Use of dormicum permits to achieve quick awakening of a patient in post-anesthesia period without adverse side effects. Intraoperation spinal cord monitoring in 8 patients is presented. A variant of anesthetic management based on propofol and nimbex is a method of choice in situations when planned waking up of a patient is necessary during the stage of spine correction.
About the Authors
Maya Nikolayevna Lebedeva
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Vladimir Petrovich Shevchenko
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Elena Vladimirovna Bykova
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
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Review
For citations:
Lebedeva M.N., Shevchenko V.P., Bykova E.V. MODERN TECHNOLOGIES OF ANESTHESIOLOGIC MANAGEMENT IN SURGERY FOR SCOLIOSIS OF CHILDREN AND ADOLESCENTS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2004;(1):97-102. (In Russ.)
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