Anaesthesia for major spinal surgery

Major spinal surgery is indicated in a variety of conditions, including degenerative and autoimmune diseases, cord compression, scoliosis and acute spinal cord injuries. Careful pre-anaesthetic assessment and planning is vital. In the era of the COVID-19 pandemic, close collaboration with the surgic...

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Bibliographic Details
Published in:	Anaesthesia and intensive care medicine Vol. 22; no. 1; pp. 6 - 12
Main Authors:	Ko, Jane, Chan, Timmy
Format:	Journal Article
Language:	English
Published:	Elsevier Ltd 01-01-2021
Subjects:	Blood conservation COVID-19 degenerative diseases of the spine neurophysiological monitoring perioperative visual loss prone positioning scoliosis spinal cord injuries spinal cord monitoring spinal surgery COVID-19 degenerative diseases of the spine prone positioning scoliosis Blood conservation neurophysiological monitoring spinal cord monitoring spinal surgery perioperative visual loss spinal cord injuries
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Summary:	Major spinal surgery is indicated in a variety of conditions, including degenerative and autoimmune diseases, cord compression, scoliosis and acute spinal cord injuries. Careful pre-anaesthetic assessment and planning is vital. In the era of the COVID-19 pandemic, close collaboration with the surgical team is essential in determining the optimal timing of surgery. Important perioperative considerations include airway management, patient positioning, neurophysiological monitoring, blood conservative strategies, pain management and specific complications such as perioperative visual loss.
ISSN:	1472-0299 1878-7584
DOI:	10.1016/j.mpaic.2020.11.008