Korean J Anesthesiol.  2009 Dec;57(6):780-784. 10.4097/kjae.2009.57.6.780.

Anesthetic experience performing intraoperative monitoring of motor evoked potentials during scoliosis surgery in adolescent patients: report on 7 cases: Seven cases report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Chungnam National University College of Medicine, Daejeon, Korea. yhkim0404@cnu.ac.kr
  • 2Department of Orthopedic Surgery, Chungnam National University College of Medicine, Daejeon, Korea.

Abstract

Intraoperative monitoring of motor evoked potential (MEP) is a modality for preventing spinal cord injury during spinal surgery. However, inhalation anesthetics and muscle relaxants depressing MEP responses, must be restricted for monitoring MEP. Therefore, anesthetic management needs careful attention for preventing recall and unintentional movements during surgery and special techniques for monitoring adequate MEP. We report here on 7 cases of successful intraoperative monitoring of MEP with total intravenous anesthesia using propofol and remifentanil for scoliosis surgery in adolescent patients.

Keyword

Motor evoked potentials; Propofol; Remifentanil; Scoliosis surgery; Total intravenous anesthesia

MeSH Terms

Adolescent
Anesthesia, Intravenous
Anesthetics, Inhalation
Evoked Potentials, Motor
Humans
Monitoring, Intraoperative
Muscles
Piperidines
Propofol
Scoliosis
Spinal Cord Injuries
Anesthetics, Inhalation
Piperidines
Propofol
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