[Anesthetic management of total en bloc spondylectomy]

We analyzed the anesthetic management of 20 patients with total en bloc spondylectomy (TES) for solitary spinal metastases. Anesthesia was maintained with isoflurane, nitrous oxide in oxygen, and fentanyl in all patients. The duration of anesthesia was 733 minutes, and the amount of bleeding was 5371 ml on the average. During operation, hypovolemic shock occurred in 5 cases and huge hemothorax in 4 cases. Postoperative, huge hemothorax occurred in 6 cases and severe pneumonia in 3 cases. Maintenance of hemodynamic and respiratory function is important in perioperative management of TES.