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Neurophysiological monitoring under anesthesia to position a child with extreme lumbar spine flexion for MRI and CT scan
Author(s) -
GUNDLAPALLI SAI,
ANAND RAHUL S.,
SCHWARTZ DANIEL M.,
WIERZBOWSKI LAWRENCE R.,
COHEN DAVID E.,
COOKSATHER SCOTT D.
Publication year - 2006
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2005.01635.x
Subject(s) - medicine , supine position , intraoperative neurophysiological monitoring , somatosensory evoked potential , neurophysiology , lumbosacral joint , propofol , prone position , anesthesia , lumbar , anesthetic , physical medicine and rehabilitation , radiology , surgery , psychiatry
Summary A novel application of neurophysiological monitoring enabled us safely to anesthetize and position a child with severe lumbosacral spine flexion for diagnostic MRI and CT scan. We conducted a propofol‐based anesthetic to optimize somatosensory (SSEP) and transcranial electric motor (tceMEP) evoked potential amplitudes, thereby facilitating dynamic neurological monitoring while fully extending the patient supine. In cases outside the operating room involving extraordinary changes in patient position, anesthesia providers may consider utilizing neurophysiological monitoring.