scholarly journals Hemodynamic effects of ephedrine and phenylephrine bolus injection in patients in the prone position under general anesthesia for lumbar spinal surgery

2016 ◽  
Vol 12 (2) ◽  
pp. 1141-1146 ◽  
Author(s):  
Jiangyan Xia ◽  
Yongying Sun ◽  
Jing Yuan ◽  
Xinjian Lu ◽  
Zhendan Peng ◽  
...  
2006 ◽  
Vol 51 (2) ◽  
pp. 239
Author(s):  
Byung Moon Choi ◽  
Ji Hyun Chin ◽  
Young Kug Kim ◽  
Kyung Don Hahm ◽  
Ji Yeon Sim ◽  
...  

2019 ◽  
Vol 8 (4) ◽  
pp. 498 ◽  
Author(s):  
Seok Kyeong Oh ◽  
Woo-Keun Kwon ◽  
Sangwoo Park ◽  
Sul Gi Ji ◽  
Joo Han Kim ◽  
...  

We aimed to investigate operating conditions, postoperative pain, and overall satisfaction of surgeons using deep neuromuscular blockade (NMB) vs. no NMB in patients undergoing lumbar spinal surgery under general anesthesia. Eighty-three patients undergoing lumbar fusion were randomly assigned to receive deep NMB (n = 43) or no NMB (n = 40). In the deep-NMB group, rocuronium was administered to maintain deep NMB (train-of-four count 0, post-tetanic count 1–2) until the end of surgery. In the no-NMB group, sugammadex 4 mg/kg at train-of-four (TOF) count 0–1 or sugammadex 2 mg/kg at TOF count ≥2 was administered to reverse the NMB 10 min after placing the patient prone. Peak inspiratory airway pressure, plateau airway pressure, lumbar retractor pressure significantly were lower in the deep-NMB group. Degree of surgical field bleeding (0–5), muscle tone (1–3), and satisfaction (1–10) rated by the surgeon were all superior in the deep-NMB group. Pain scores, rescue fentanyl consumption in post-anesthesia care unit (PACU), and postoperative patient-controlled analgesia consumption were significantly lower in the deep-NMB group, and this group had a shorter length of stay in PACU. Compared to no NMB, deep NMB provides better operating conditions, reduced postoperative pain and higher overall satisfaction in lumbar spinal surgery.


2017 ◽  
Vol Volume 10 ◽  
pp. 91-98 ◽  
Author(s):  
John Pierce ◽  
Guy Kositratna ◽  
Mark Attiah ◽  
Michael Kallan ◽  
Rebecca Koenigsberg ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document