Scoliosis and anaesthetic considerations

Scoliosis may be of varied etiology and tends to cause a restrictive ventilatory defect, along with ventilation-perfusion mismatch and hypoxemia. There is also cardiovascular involvement in the form of raised right heart pressures, mitral valve prolapse or congenital heart disease. Thus a careful pr...

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Bibliographic Details
Main Authors: Anand H Kulkarni, M Ambareesha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=6;spage=486;epage=495;aulast=Kulkarni
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author Anand H Kulkarni
M Ambareesha
author_facet Anand H Kulkarni
M Ambareesha
author_sort Anand H Kulkarni
collection DOAJ
description Scoliosis may be of varied etiology and tends to cause a restrictive ventilatory defect, along with ventilation-perfusion mismatch and hypoxemia. There is also cardiovascular involvement in the form of raised right heart pressures, mitral valve prolapse or congenital heart disease. Thus a careful pre-anaesthetic evaluation and optimization should be done. Intraoperatively temperature and fluid balance, positioning, spinal cord integrity testing and blood conservation techniques are to be kept in mind. Postoperatively, intensive respiratory therapy and pain management are prime concerns.
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spelling doaj.art-81a39ecf8edb462cb15d61498f6020a52022-12-22T03:34:54ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492007-01-01516486495Scoliosis and anaesthetic considerationsAnand H KulkarniM AmbareeshaScoliosis may be of varied etiology and tends to cause a restrictive ventilatory defect, along with ventilation-perfusion mismatch and hypoxemia. There is also cardiovascular involvement in the form of raised right heart pressures, mitral valve prolapse or congenital heart disease. Thus a careful pre-anaesthetic evaluation and optimization should be done. Intraoperatively temperature and fluid balance, positioning, spinal cord integrity testing and blood conservation techniques are to be kept in mind. Postoperatively, intensive respiratory therapy and pain management are prime concerns.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=6;spage=486;epage=495;aulast=KulkarniScoliosis; DeformitySpine; MonitoringSpinal cord; DefectRestrictive.
spellingShingle Anand H Kulkarni
M Ambareesha
Scoliosis and anaesthetic considerations
Indian Journal of Anaesthesia
Scoliosis; Deformity
Spine; Monitoring
Spinal cord; Defect
Restrictive.
title Scoliosis and anaesthetic considerations
title_full Scoliosis and anaesthetic considerations
title_fullStr Scoliosis and anaesthetic considerations
title_full_unstemmed Scoliosis and anaesthetic considerations
title_short Scoliosis and anaesthetic considerations
title_sort scoliosis and anaesthetic considerations
topic Scoliosis; Deformity
Spine; Monitoring
Spinal cord; Defect
Restrictive.
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=6;spage=486;epage=495;aulast=Kulkarni
work_keys_str_mv AT anandhkulkarni scoliosisandanaestheticconsiderations
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