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Profound Intraoperative Metabolic Acidosis and Hypotension in a Child Undergoing Multilevel Spinal Fusion
Joint Authors
D'Angelo, Jonathan A.
de Armendi, Alberto J.
Cure, Jorge A.
Shukry, Mohanad
Joshi, Minal
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-10-18
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
The prone position may cause cardiovascular system depression.
Yet, the mechanisms involved and preemptive measures are not well understood (Edgcombe et al.
(2008)).
During spinal surgery in the prone position, hypotension may occur.
Implicated factors include prolonged abdominal compression impeding venous return resulting in increased blood loss, decreased cardiovascular reserve, and the use of total intravenous anesthesia (TIVA) which has been shown to blunt the sympathetic response more than inhalation anesthesia.
We present a case of hypotension during spinal surgery with all its challenges.
Hypotension and acidosis persisted despite all supporting measures, and only to improve with supine positioning.
Differential diagnosis for such an event are discussed.
Although abdominal compression may not be obvious before the start of surgery, compressing the spine during surgery may lead to abdominal compression and hypoperfusion to abdominal organs.
American Psychological Association (APA)
Shukry, Mohanad& D'Angelo, Jonathan A.& Joshi, Minal& Cure, Jorge A.& de Armendi, Alberto J.. 2009. Profound Intraoperative Metabolic Acidosis and Hypotension in a Child Undergoing Multilevel Spinal Fusion. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-453136
Modern Language Association (MLA)
Shukry, Mohanad…[et al.]. Profound Intraoperative Metabolic Acidosis and Hypotension in a Child Undergoing Multilevel Spinal Fusion. Case Reports in Medicine No. 2009 (2009), pp.1-3.
https://search.emarefa.net/detail/BIM-453136
American Medical Association (AMA)
Shukry, Mohanad& D'Angelo, Jonathan A.& Joshi, Minal& Cure, Jorge A.& de Armendi, Alberto J.. Profound Intraoperative Metabolic Acidosis and Hypotension in a Child Undergoing Multilevel Spinal Fusion. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-453136
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-453136