Total Intravenous Anesthesia for Neurophysiological Monitoring in a Child
Author Information
Author(s): Muacevic Alexander, Adler John R, Sabesan Theyjes, Balaji Ramamurthy, Vishak Manoj, Priyadharshini Rajesh, Samsudeen Jalaludeen
Primary Institution: SRM Medical College Hospital and Research Center, Chennai, IND
Hypothesis
Can total intravenous anesthesia (TIVA) effectively facilitate intraoperative neurophysiological monitoring (IONM) in a child with diastematomyelia undergoing spine surgery?
Conclusion
The use of TIVA during spine surgery with IONM can help minimize the risk of postoperative neurological deficits.
Supporting Evidence
- Intraoperative neurophysiological monitoring (IONM) helps in early detection of neural injury.
- Avoiding muscle relaxants and inhalational agents is crucial for effective IONM.
- The patient remained hemodynamically stable throughout the 7-hour surgery.
Takeaway
This study shows that using certain anesthesia methods can help doctors keep an eye on the nerves during surgery, which is really important for keeping kids safe.
Methodology
The case report details the anesthesia management and intraoperative monitoring techniques used during the surgery.
Limitations
The study is based on a single case report, which may limit the generalizability of the findings.
Participant Demographics
An 11-year-old female child with diastematomyelia Type II.
Digital Object Identifier (DOI)
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