Does ketamine affect intraoperative electrophysiological monitoring in children undergoing selective posterior rhizotomy?

2008 ◽  
Vol 18 (9) ◽  
pp. 831-837 ◽  
Author(s):  
CHANTAL FRIGON ◽  
KHALED SEDEEK ◽  
CHANTAL POULIN ◽  
KAREN BROWN ◽  
JEAN-PIERRE FARMER
Keyword(s):  
Electrophysiological Monitoring ◽  
Intraoperative Electrophysiological Monitoring ◽  
Selective Posterior Rhizotomy

Brachial plexus injury following spinal surgery

2010 ◽  
Vol 13 (4) ◽  
pp. 552-558 ◽  
Author(s):  
Juan S. Uribe ◽  
Jaya Kolla ◽  
Hesham Omar ◽  
Elias Dakwar ◽  
Naomi Abel ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Spinal Surgery ◽  
Brachial Plexus Injury ◽  
Patient Positioning ◽  
Electrophysiological Monitoring ◽  
Duration Of Surgery ◽  
Intraoperative Electrophysiological Monitoring ◽  
Special Concern ◽  
Injury Recovery ◽  
Determining Factor

Object In the present study, the authors identified the etiology, precipitating factors, and outcomes of perioperative brachial plexus injuries following spine surgery. Methods We reviewed all the available literature regarding postoperative/perioperative brachial plexus injuries, with special concern for the patient's position during surgery, duration of surgery, the procedure performed, neurological outcome, and prognosis. We also reviewed the utility of intraoperative electrophysiological monitoring for prevention of these complications. Results Patient malpositioning during surgery is the main determining factor for the development of postoperative brachial plexus injury. Recovery occurs in the majority of cases but may require weeks to months of therapy after initial presentation. Conclusion Brachial plexus injuries are an increasingly recognized complication following spinal surgery. Proper attention to patient positioning with the use of intraoperative electrophysiological monitoring techniques could minimize injury.

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