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A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement

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Published on: May 11, 2020

Perioperative management in complex spine surgery.

Michael Singleton^1,2, Daniela Ghisi³, Stavros Memtsoudis^1,2,4

¹Department of Anesthesiology, Critical Care, and Pain Management, Hospital for Special Surgery, New York, NY, USA.

Minerva Anestesiologica

|March 22, 2022

Summary

Anesthesiologists play a crucial role in spine surgery, managing patient care from pre-operation through post-operation. This review covers essential perioperative anesthetic considerations for diverse spinal procedures.

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Area of Science:

Anesthesiology
Neurosurgery
Spine Surgery

Background:

Spine surgical procedures have significantly increased globally over the past 20 years.
Procedures range from minimally invasive discectomies to complex multilevel fusions and osteotomies.
Anesthesiologists must be prepared for the diverse challenges and risks associated with various spine surgeries.

Purpose of the Study:

To review fundamental concepts of perioperative spine care.
To discuss evolving anesthetic practices in spine surgery.
To highlight key considerations for anesthesiologists managing spine surgery patients.

Main Methods:

This is a narrative review.
Literature search on perioperative spine care and anesthetic techniques.
Synthesis of information on preoperative, intraoperative, and postoperative management.

Main Results:

Key areas discussed include preoperative assessment, intraoperative management (airway, anesthesia maintenance, neuromonitoring, blood management), and anesthetic/analgesic techniques.
The review addresses the dynamic nature of anesthetic choices and their impact.
Perioperative complications specific to spine surgery are also briefly covered.

Conclusions:

Optimal perioperative anesthetic management is vital for patient safety in spine surgery.
Anesthesiologists require comprehensive knowledge of surgical procedures and potential complications.
Continuous adaptation to evolving anesthetic techniques is necessary for improved patient outcomes.