Open AccessHigh-volume, multilevel local anesthetics–epinephrine infiltration in kyphoscoliosis surgery: Blood conservation
Author(s) -
Alaa Mazy,
Alaa Eldin A Elmaadawy,
M.Y. Serry,
Mohamed Kassem
Publication year - 2019
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/aer.aer_89_19
Subject(s) - medicine , anesthesia , kyphoscoliosis , epinephrine , pacu , blood volume , surgery , infiltration (hvac) , scoliosis , physics , thermodynamics
Scoliosis surgery is usually associated with severe bleeding. Various systemic strategies for blood conservation were applied, while the local techniques get less attention. The preemptive use of sufficient volume for proper tissue infiltration at two levels was applied. The local epinephrine may control bleeding without reliance upon deliberate hypotension, permitting a higher tissue perfusion.