bandage-green

Scoliosis Correction (Posterior Spinal Fusion)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Prone, arms extended and flexed (superman)
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Induction only - MEP/SSEP run throughout
Considerations : MEP monitoring, SSEP monitoring, High Blood Loss, Fluoroscopy / Xray

Anesthetic Approaches

1GETT, TIVA, Propofol Drip, Remifentanil Drip
2GETT, 1/2 MAC Gas, Propofol Drip, Remifentanil Drip
The Surgery

Positioning - prone on a Jackson-type frame, arms in superman, pressure points and eyes checked and documented. Exposure - long midline incision, subperiosteal exposure of every level to be fused....

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