Open AccessAnaesthiologic provision of operations in scoliotic patients with simultaneous intervention on the ventral and dorsal spine
Author(s) -
A. B. Kralin,
С. Т. Ветрилэ,
N. I. Arzhakov,
А. А. Кулешов
Publication year - 1999
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto105105
Subject(s) - medicine , hypovolemia , scoliosis , blood loss , anesthesia , discectomy , surgery , dorsum , intervention (counseling) , lumbar , nursing , anatomy
The experience in the anaesthiologic provision of 8 operations for the extremely severe rigid scoliosis is presented. Surgical intervention consisted of multilevel (6-7 levels) discectomy via transthoratic approach with subsequent implantation of Cotrel-Dubousset system. Such operations are rather traumatic and are characterized by a considerable blood loss, long time of general anaesthesia. The operations are to be performed under a careful monitoring of the cardio-vascular system, volume of circulating blood and qualitative blood content. The work of anaesthiologist consisted of preoperative correction of the initial hypovolemia without the dextranes, multicomponent anaesthesia with main analgetic, controlled hypotension, prevention of intraoperative blood loss and reinfusion, maintenance of temperature balance. It is shown that in complex approach to the management of such patients the long and adequate anaesthesia with rather short (3-4 days) subsequent admission of patients to the ICU is possible.