1. The influence of anaesthesia on intraoperative neuromonitoring changes in high-risk spinal surgery
- Author
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Nathan P. Royan, Nancy Lu, Pirjo Manninen, and Lakshmikumar Venkatraghavan
- Subjects
balanced anaesthesia ,inhalational anaesthesia ,intravenous anaesthesia ,motor evoked potentials ,somatosensory evoked potentials ,Anesthesiology ,RD78.3-87.3 - Abstract
Background: The use of intraoperative neuromonitoring is a well-established method of detecting neurologic injuries during spine surgery. Anaesthesia, especially inhalational agents, influence motor evoked potential (MEP) monitoring. The aim of our study was to compare the effect of balanced anaesthesia (BA) (intravenous plus inhalational anaesthesia) and total intravenous anaesthesia (TIVA) on the incidence of intraoperative neuromonitoring changes, interventions performed and neurological outcomes of patients following high-risk spinal surgery. Methods: After Research and Ethics Board approval, a retrospective review of 155 patients who underwent spinal surgery with MEP was performed. Data were collected on changes in MEP and/or somatosensory evoked potential, interventions performed and neurological outcomes. Patients were divided into BA and TIVA groups and data were analysed. Results: A total of 152 patients were eligible for the study (mean age 54 ± 17, male: female 45:55). A BA technique was used in 62% and TIVA in 38%. Desflurane (
- Published
- 2017
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