The effect of intraoperative lidocaine administration in a disrupted erector spinae fascial plane on intercostal transcranial motor evoked potentials
Study objectiveErector spinae plane (ESP) blocks have been recently described for postoperative pain management following spine surgery but their effects on intraoperative neuromonitoring are unknown.DesignRetrospective cohort study.SettingPediatric patients at a tertiary care center.Patients26 pedi...
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Veröffentlicht in: | Journal of clinical anesthesia 2022-11, Vol.82, p.110956-110956, Article 110956 |
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creator | Pan, Stephanie J. Vorhies, John S. Lee, Leslie H. López, Jaime R. Tsui, Ban C.H. |
description | Study objectiveErector spinae plane (ESP) blocks have been recently described for postoperative pain management following spine surgery but their effects on intraoperative neuromonitoring are unknown.DesignRetrospective cohort study.SettingPediatric patients at a tertiary care center.Patients26 pediatric patients who received bilateral surgically-placed ESP catheters for single-stage posterior spine fusion (PSF) from August 2020 to June 2021.InterventionsPatients in this study did not receive any special interventions as part of this observational retrospective study.MeasurementsThis retrospective study investigated the effects of local anesthesia administration through bilateral surgically-placed ESP catheters on intraoperative intercostal transcranial motor evoked potentials (tcMEPs) in the setting of a disrupted erector spinae fascial plane in pediatric patients undergoing single-stage posterior spine fusion.Main resultsOf the 26 patients that received bilateral surgically-placed ESP catheters for pediatric posterior spine fusion surgery, none exhibited any changes in intercostal tcMEPs attributable to intraoperative lidocaine administration through the ESP catheters.ConclusionsThe administration of a local anesthetic into a disrupted erector spinae fascial plane does not appear to interfere with intraoperative neuromonitoring of posterior spine fusion surgeries. |
doi_str_mv | 10.1016/j.jclinane.2022.110956 |
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Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c316t-4ec012208d696de71e75c1b6a42253668a0a0e517e0bb208068815a01dde5d03</citedby><cites>FETCH-LOGICAL-c316t-4ec012208d696de71e75c1b6a42253668a0a0e517e0bb208068815a01dde5d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2711278102?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,64364,64366,64368,72218</link.rule.ids></links><search><creatorcontrib>Pan, Stephanie J.</creatorcontrib><creatorcontrib>Vorhies, John S.</creatorcontrib><creatorcontrib>Lee, Leslie H.</creatorcontrib><creatorcontrib>López, Jaime R.</creatorcontrib><creatorcontrib>Tsui, Ban C.H.</creatorcontrib><title>The effect of intraoperative lidocaine administration in a disrupted erector spinae fascial plane on intercostal transcranial motor evoked potentials</title><title>Journal of clinical anesthesia</title><description>Study objectiveErector spinae plane (ESP) blocks have been recently described for postoperative pain management following spine surgery but their effects on intraoperative neuromonitoring are unknown.DesignRetrospective cohort study.SettingPediatric patients at a tertiary care center.Patients26 pediatric patients who received bilateral surgically-placed ESP catheters for single-stage posterior spine fusion (PSF) from August 2020 to June 2021.InterventionsPatients in this study did not receive any special interventions as part of this observational retrospective study.MeasurementsThis retrospective study investigated the effects of local anesthesia administration through bilateral surgically-placed ESP catheters on intraoperative intercostal transcranial motor evoked potentials (tcMEPs) in the setting of a disrupted erector spinae fascial plane in pediatric patients undergoing single-stage posterior spine fusion.Main resultsOf the 26 patients that received bilateral surgically-placed ESP catheters for pediatric posterior spine fusion surgery, none exhibited any changes in intercostal tcMEPs attributable to intraoperative lidocaine administration through the ESP catheters.ConclusionsThe administration of a local anesthetic into a disrupted erector spinae fascial plane does not appear to interfere with intraoperative neuromonitoring of posterior spine fusion surgeries.</description><subject>Back surgery</subject><subject>Cadavers</subject><subject>Catheters</subject><subject>Epidural</subject><subject>Infections</subject><subject>Local anesthesia</subject><subject>Narcotics</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Scoliosis</subject><subject>Surgeons</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkUFr3DAQhUVpodukf6EIeunFmxl5LXuPJaRpIJDL3oVWGlO5XsmVtIH-kP7fjLvppZcZePPN48ET4hPCFgH1zbSd3ByijbRVoNQWEfadfiM2OPRts-vU_q3YsKSaAQd4Lz6UMgEAH3Aj_hx-kKRxJFdlGmWINdu0ULY1PJOcg0_OhkjS-lOIodT1kCJz0kofSj4vlbykzP8py7JwDpKjLS7YWS4zh5J_8UrZpVJZZItYHI-VOKX1jZ7TT3ZZUqVYWS7X4t3Iiz6-7itx-HZ3uP3ePD7dP9x-fWxci7o2O3KASsHg9V576pH6zuFR251SXav1YMECddgTHI-MgR4G7Cyg99R5aK_El4vtktOvM5VqTqE4mtfY6VyM6qHXqHW_Y_Tzf-iUzjlyOKYQVT8gKKb0hXI5lZJpNEsOJ5t_GwSzlmUm868ss5ZlLmW1L7h9jck</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Pan, Stephanie J.</creator><creator>Vorhies, John S.</creator><creator>Lee, Leslie H.</creator><creator>López, Jaime R.</creator><creator>Tsui, Ban C.H.</creator><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20221101</creationdate><title>The effect of intraoperative lidocaine administration in a disrupted erector spinae fascial plane on intercostal transcranial motor evoked potentials</title><author>Pan, Stephanie J. ; Vorhies, John S. ; Lee, Leslie H. ; López, Jaime R. ; Tsui, Ban C.H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c316t-4ec012208d696de71e75c1b6a42253668a0a0e517e0bb208068815a01dde5d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Back surgery</topic><topic>Cadavers</topic><topic>Catheters</topic><topic>Epidural</topic><topic>Infections</topic><topic>Local anesthesia</topic><topic>Narcotics</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Scoliosis</topic><topic>Surgeons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pan, Stephanie J.</creatorcontrib><creatorcontrib>Vorhies, John S.</creatorcontrib><creatorcontrib>Lee, Leslie H.</creatorcontrib><creatorcontrib>López, Jaime R.</creatorcontrib><creatorcontrib>Tsui, Ban C.H.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pan, Stephanie J.</au><au>Vorhies, John S.</au><au>Lee, Leslie H.</au><au>López, Jaime R.</au><au>Tsui, Ban C.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of intraoperative lidocaine administration in a disrupted erector spinae fascial plane on intercostal transcranial motor evoked potentials</atitle><jtitle>Journal of clinical anesthesia</jtitle><date>2022-11-01</date><risdate>2022</risdate><volume>82</volume><spage>110956</spage><epage>110956</epage><pages>110956-110956</pages><artnum>110956</artnum><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Study objectiveErector spinae plane (ESP) blocks have been recently described for postoperative pain management following spine surgery but their effects on intraoperative neuromonitoring are unknown.DesignRetrospective cohort study.SettingPediatric patients at a tertiary care center.Patients26 pediatric patients who received bilateral surgically-placed ESP catheters for single-stage posterior spine fusion (PSF) from August 2020 to June 2021.InterventionsPatients in this study did not receive any special interventions as part of this observational retrospective study.MeasurementsThis retrospective study investigated the effects of local anesthesia administration through bilateral surgically-placed ESP catheters on intraoperative intercostal transcranial motor evoked potentials (tcMEPs) in the setting of a disrupted erector spinae fascial plane in pediatric patients undergoing single-stage posterior spine fusion.Main resultsOf the 26 patients that received bilateral surgically-placed ESP catheters for pediatric posterior spine fusion surgery, none exhibited any changes in intercostal tcMEPs attributable to intraoperative lidocaine administration through the ESP catheters.ConclusionsThe administration of a local anesthetic into a disrupted erector spinae fascial plane does not appear to interfere with intraoperative neuromonitoring of posterior spine fusion surgeries.</abstract><cop>Philadelphia</cop><pub>Elsevier Limited</pub><doi>10.1016/j.jclinane.2022.110956</doi><tpages>1</tpages></addata></record> |
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subjects | Back surgery Cadavers Catheters Epidural Infections Local anesthesia Narcotics Patients Pediatrics Scoliosis Surgeons |
title | The effect of intraoperative lidocaine administration in a disrupted erector spinae fascial plane on intercostal transcranial motor evoked potentials |
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