Severe hypotension and hepatic dysfunction in a patient undergoing scoliosis surgery in the prone position
Many patients with neuromuscular disorders develop progressive scoliosis and require corrective surgery. We present a patient with hereditary motor and sensory neuropathies who developed severe hypotension during corrective surgery for thoracolumbar scoliosis. The haemodynamic disturbance was probab...
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| Veröffentlicht in: | Anaesthesia and intensive care 2005-06, Vol.33 (3), p.393-399 |
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| container_title | Anaesthesia and intensive care |
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| creator | YUEN, V. M. Y CHOW, B. F. M IRWIN, M. G |
| description | Many patients with neuromuscular disorders develop progressive scoliosis and require corrective surgery. We present a patient with hereditary motor and sensory neuropathies who developed severe hypotension during corrective surgery for thoracolumbar scoliosis. The haemodynamic disturbance was probably secondary to thoracic hyperlordosis and the knee-chest position and was aggravated by surgical manipulation. This may be prevented by tailored preoperative evaluation of different patient prone position supports and frames in order to select that which causes least cardiovascular and respiratory disturbance. This patient also developed severely deranged liver function postoperatively and the possible aetiology is discussed. |
| doi_str_mv | 10.1177/0310057x0503300317 |
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M. Y</au><au>CHOW, B. F. M</au><au>IRWIN, M. G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe hypotension and hepatic dysfunction in a patient undergoing scoliosis surgery in the prone position</atitle><jtitle>Anaesthesia and intensive care</jtitle><addtitle>Anaesth Intensive Care</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>33</volume><issue>3</issue><spage>393</spage><epage>399</epage><pages>393-399</pages><issn>0310-057X</issn><eissn>1448-0271</eissn><coden>AINCBS</coden><abstract>Many patients with neuromuscular disorders develop progressive scoliosis and require corrective surgery. We present a patient with hereditary motor and sensory neuropathies who developed severe hypotension during corrective surgery for thoracolumbar scoliosis. The haemodynamic disturbance was probably secondary to thoracic hyperlordosis and the knee-chest position and was aggravated by surgical manipulation. 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| subjects | Adult Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Hereditary Sensory and Motor Neuropathy - complications Humans Hypotension - etiology Ischemia - etiology Liver Diseases - enzymology Liver Diseases - etiology Lordosis - diagnostic imaging Male Medical sciences Postoperative Complications Prone Position Radiography Scoliosis - complications Scoliosis - surgery |
| title | Severe hypotension and hepatic dysfunction in a patient undergoing scoliosis surgery in the prone position |
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