Tìm thấy 20+ kết quả cho từ khóa "Spine surgery"
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Individual probability of allogeneic erythrocyte transfusion in elective spine surgery: the predictive model of transfusion in spine surgery
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Outcome impact of individualized fluid management during spine surgery: a. Background: Individualized fluid management (IFM) has been shown to be useful to improve the postoperative outcome of patients undergoing major abdominal surgery. We designed the present study to investigate the clinical impact of IFM in patients undergoing major spine surgery.. Methods: This is a before-after study done in 300 patients undergoing posterior spine arthrodesis.
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Pain Sensitivity and Pain Catastrophizing Are Associated With Persistent Pain and Disability After Lumbar Spine Surgery
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Similar circulatory collapse cases in spine surgery without definitive causes during wound closure or shortly after surgery, though rare, were encountered in our institution. It was interesting to note that these cases were all associated with topical appli- cation of VCM powder (Table 1).
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intubation using the Optiscope ™ in cervical spine surgery patients: a retrospective. Background: The Optiscope ™ can be used for intubation with minimal neck motion. We retrospectively investigated radiographic predictors of difficult intubation using the Optiscope ™ by analyzing preoperative radiographic images.. Methods: One hundred eighty-four patients who were intubated with the Optiscope ™ under manual in-line cervical stabilization for cervical spine surgery were enrolled.
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Conclusion: PCV-VG led to lower Ppeak and improved Cdyn values compared with VCV, showing that it may be a favorable alternative mode of mechanical ventilation for patients in the prone position during lumbar spine surgery.. The prone position is commonly required to enable surgical access during lumbar spine surgery.
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The present study aimed to investigate the accuracy and trending ability of a non-invasive continuous method to monitor hemoglobin (SpHb) concentrations using a Radical-7 ™ Pulse CO-Oximeter in complex spine surgery.. Linear regression analysis, Bland – Altman plot, four-quadrant plot, and Critchley polar plot were used to assess the accuracy and trending ability of the monitor..
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Together, these results highlight challenges for spine surgery deci- sion making. Further, spine surgery is not as effective as TJR which may result in patients being less sure about the choice [34]. The fairly low rate of IPC decisions suggests that the visits with spine surgeons may not be enough to overcome the inherent difficulties in the decision-making process for spine surgery and underscores the need for additional decision support.
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Blood loss and transfusion associ- ated with musculoskeletal tumor surgery. A comparative study between minimally invasive spine surgery and traditional open surgery for patients with spinal metas- tasis
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Post‑operative delirium is an independent predictor of 30‑day hospital readmission after spine surgery in the elderly (≫/=65years old): A study of 453 consecutive elderly spine surgery patients. sies and future perspectives on treatment of intensive care unit delirium in adults. erative pain and subsyndromal delirium in older adults.
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From the type of robotic surgery and surgical site, ortho- pedic robotic products are focused mainly on spine and lower limb joints robots (Table 5). MAKO and Mazor was the most popular orthopedic robot in the lower limb joints and spine surgery (Fig. The robot- assisted surgery of pedicle screw implantation and joint replacement have gradually matured, with these surger- ies likely becoming the mainstream choice in spine and joint surgery in the future.
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Most spine surgery patients are extubated on the table at the end of the surgery. The need for postoperative mechanical ventilation must be considered prior to surgery. Although it is not our regular practice, some groups suggest elective ventilation for a few hours after C-spine surgery to make certain no airway compromise by hematoma is present after surgery and before extubation.. cervical spine surgery: laryngeal nerve damage or hematoma.
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The most common cause of amaurosis after spine surgery is anterior or posterior ischemic optic neuropathy (ION). We favor the use of the Mayfield head clamp for posterior cervical spine procedures because pressure on eyes, nose, and chin can be avoided. Post spine surgery blindness is an important topic that led The American Society of Anesthesiology to evaluate this theme through the ASA Postoperative Visual Loss Registry.
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Beutler WJ, Sweeney CA, Connolly PJ (2001) Recurrent laryngeal nerve injury with anterior cervical spine surgery – risk with laterality of surgical approach. Boardman ND, 3rd, Cofield RH (1999) Neurologic complications of shoulder surgery. Brau SA (2002) Mini-open approach to the spine for anterior lumbar interbody fusion:. description of the procedure, results and complications.
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Suction drainage and close surveillance minimize the risk of unrecognized bleed- ing after anterior cervical spine surgery. In such cases, on-site emergency opening of the wound and reintubation or tracheotomy is the only means to save the patient. Thoracic Spine Surgery. If postoperative bleeding is considerable, removal of the vacuum can solve the problem in the vast majority of cases.
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, but there is still contro- versy regarding the monitoring of lumbar spine surgery [12–14].
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Currently, PCA is the most widely used approach to manage postoperative pain after spine surgery. Since Mullen and Cook first demonstrated the use of wound infiltration with local anesthetics in spine surgery in a few literatures reported the appli- cation of wound infiltration with local anesthetics in sev- eral surgical procedures. found that local infiltration analgesia had a reduction of VAS and morphine consumption in postoperative pain control.
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Bazaz R, Lee MJ, Yoo JU (2002) Incidence of dysphagia after anterior cervical spine surgery:. fusion for treatment of cervical radiculopathy and myelopathy. Bertalanffy H, Eggert HR (1989) Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Beutler WJ, Sweeney CA, Connolly PJ (2001) Recurrent laryngeal nerve injury with anterior cervical spine surgery – risk with laterality of surgical approach.
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Due to the existence of cervical degeneration, instabil- ity or spondylosis, difficult laryngoscopy has a higher incidence in patients undergoing elective cervical spine surgery.
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Changing the tube with the patient in the prone or lateral position or during cervical spine surgery might be catastrophic. Careful eye protection with cream, occlusive tape and peripheral padding is mandatory in particular in patients positioned prone or in anterior approaches to the cervical spine ( Fig