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Posterior spinal fusion with Harrington instrumentation using "balanced" anesthesia
Southern Medical Journal
|June 1, 1978
Summary
This study highlights a preferred anesthesia technique using nitrous oxide, oxygen, morphine, and curare for rapid patient awakening post-neurologic assessment. Doxapram aids in quick arousal, while specific agents induce hypotension to minimize blood loss during procedures.
Area of Science:
- Anesthesiology
- Neurology
- Critical Care Medicine
Background:
- Rapid patient awakening is crucial for neurological status assessment after surgical procedures.
- Minimizing intraoperative blood loss is a key concern in surgical interventions.
Purpose of the Study:
- To present a preferred anesthesia regimen for facilitating swift patient emergence.
- To describe methods for achieving controlled hypotension and rapid arousal.
Main Methods:
- Utilized nitrous oxide-oxygen-morphine-curare anesthesia for its rapid awakening properties.
- Administered doxapram as an adjunct to expedite patient arousal.
- Employed pentolinium, trimethaphan camsylate, and sodium nitroprusside to induce controlled hypotension.
Main Results:
- The described anesthesia combination proved effective for rapid neurological assessment post-instrumentation.
- Doxapram reliably shortened the time span for patient awakening.
- The hypotensive agents successfully prevented massive blood loss during procedures.
Conclusions:
- Nitrous oxide-oxygen-morphine-curare anesthesia offers significant advantages for patients requiring prompt neurological evaluation.
- Adjunctive use of doxapram and specific hypotensive agents enhances patient management and safety.