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Related Experiment Video

Updated: Dec 31, 2025

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Cardiovascular Changes and Lumbar Spine Surgery: A Neglected Entity.

Shalvi Mahajan1, Adarsh Chandra Swami2, Amit Kumar2

  • 1Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.

Asian Journal of Neurosurgery
|January 7, 2020
PubMed
Summary

Transient hypotension and bradycardia can occur during prone lumbar spine surgery. Vigilant monitoring and invasive blood pressure monitoring are crucial for early detection and management of these cardiovascular changes.

Keywords:
Bradycardiahypotensionlumbar spine

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Area of Science:

  • Anesthesiology
  • Neurosurgery
  • Cardiovascular Physiology

Background:

  • Cardiovascular changes during prone lumbar spine surgery are not well-documented.
  • Elderly patients undergoing complex spinal procedures require careful anesthetic management.

Observation:

  • An elderly male patient developed transient hypotension and bradycardia during lumbar spine decompression and transforaminal interbody fusion.
  • These episodes were noted while the patient was in the prone position.

Findings:

  • The case highlights the potential for significant, albeit transient, cardiovascular instability during prone lumbar spine surgery.
  • Hypotension and bradycardia are key adverse events to monitor.

Implications:

  • Anesthesiologists must maintain vigilance for subtle cardiovascular changes in patients undergoing prone lumbar spine surgery.
  • Invasive blood pressure monitoring may be essential for timely detection and intervention.
  • Proactive management of cardiovascular events can prevent adverse outcomes.