Intraoperative Hemodynamic Disorders in Adolescent with Lordoscoliosis During Correction of Spinal Deformity: Clinical Case and Brief Literature Review
Background. The intraoperative prone position of patients is risk factor of hemodynamic instability development especially in patients with lordoscoliosis due to smaller chest volume. Clinical case description. 15-year-old female patient was admitted for planned surgical correction of grade IV lordo...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
"Paediatrician" Publishers LLC
2024-12-01
|
| Series: | Вопросы современной педиатрии |
| Subjects: | |
| Online Access: | https://vsp.spr-journal.ru/jour/article/view/3659 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849688496160112640 |
|---|---|
| author | Anastasiya A. Ivanova Sergey G. Volkov Dmitry S. Lukyanov Maya N. Lebedeva |
| author_facet | Anastasiya A. Ivanova Sergey G. Volkov Dmitry S. Lukyanov Maya N. Lebedeva |
| author_sort | Anastasiya A. Ivanova |
| collection | DOAJ |
| description | Background. The intraoperative prone position of patients is risk factor of hemodynamic instability development especially in patients with lordoscoliosis due to smaller chest volume. Clinical case description. 15-year-old female patient was admitted for planned surgical correction of grade IV lordoscoliosis. Arterial hypotension has developed during surgery, that could not be corrected by increased infusion therapy rate, vasopressors, and changing anesthetic. Operation has been stopped. No significant anatomical and functional changes in cardiovascular system were revealed during the postoperative period. The patient was taken back to the operating room five days later. However, patient’s positioning has been changed: the Jackson table module with chest and pelvic bone support pads was replaced with standard one with surgical linen placed under the chest and iliac crests. Propofol was the anesthetic of choice. The course of anesthesia was within normal. Conclusion. Preoperative examination of patients with lordoscoliosis should include CT examination of the spine and chest to evaluate the spinal penetration index. Intraoperative positioning should be performed in a way to reduce negative effect of inevitable chest compression. It is preferable to use total intravenous anesthesia. All the above is crucial to minimize the risk of intraoperative hemodynamic instability. |
| format | Article |
| id | doaj-art-a10e21470a5c499d81d1257c8d2c8fd3 |
| institution | DOAJ |
| issn | 1682-5527 1682-5535 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | "Paediatrician" Publishers LLC |
| record_format | Article |
| series | Вопросы современной педиатрии |
| spelling | doaj-art-a10e21470a5c499d81d1257c8d2c8fd32025-08-20T03:21:59Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352024-12-0123650350810.15690/vsp.v23i6.28262216Intraoperative Hemodynamic Disorders in Adolescent with Lordoscoliosis During Correction of Spinal Deformity: Clinical Case and Brief Literature ReviewAnastasiya A. Ivanova0Sergey G. Volkov1Dmitry S. Lukyanov2Maya N. Lebedeva3Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. TsivyanNovosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. TsivyanNovosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. TsivyanNovosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. TsivyanBackground. The intraoperative prone position of patients is risk factor of hemodynamic instability development especially in patients with lordoscoliosis due to smaller chest volume. Clinical case description. 15-year-old female patient was admitted for planned surgical correction of grade IV lordoscoliosis. Arterial hypotension has developed during surgery, that could not be corrected by increased infusion therapy rate, vasopressors, and changing anesthetic. Operation has been stopped. No significant anatomical and functional changes in cardiovascular system were revealed during the postoperative period. The patient was taken back to the operating room five days later. However, patient’s positioning has been changed: the Jackson table module with chest and pelvic bone support pads was replaced with standard one with surgical linen placed under the chest and iliac crests. Propofol was the anesthetic of choice. The course of anesthesia was within normal. Conclusion. Preoperative examination of patients with lordoscoliosis should include CT examination of the spine and chest to evaluate the spinal penetration index. Intraoperative positioning should be performed in a way to reduce negative effect of inevitable chest compression. It is preferable to use total intravenous anesthesia. All the above is crucial to minimize the risk of intraoperative hemodynamic instability.https://vsp.spr-journal.ru/jour/article/view/3659clinical caselordoscoliosismanagement of spinal deformitiesprone positionhemodynamics |
| spellingShingle | Anastasiya A. Ivanova Sergey G. Volkov Dmitry S. Lukyanov Maya N. Lebedeva Intraoperative Hemodynamic Disorders in Adolescent with Lordoscoliosis During Correction of Spinal Deformity: Clinical Case and Brief Literature Review Вопросы современной педиатрии clinical case lordoscoliosis management of spinal deformities prone position hemodynamics |
| title | Intraoperative Hemodynamic Disorders in Adolescent with Lordoscoliosis During Correction of Spinal Deformity: Clinical Case and Brief Literature Review |
| title_full | Intraoperative Hemodynamic Disorders in Adolescent with Lordoscoliosis During Correction of Spinal Deformity: Clinical Case and Brief Literature Review |
| title_fullStr | Intraoperative Hemodynamic Disorders in Adolescent with Lordoscoliosis During Correction of Spinal Deformity: Clinical Case and Brief Literature Review |
| title_full_unstemmed | Intraoperative Hemodynamic Disorders in Adolescent with Lordoscoliosis During Correction of Spinal Deformity: Clinical Case and Brief Literature Review |
| title_short | Intraoperative Hemodynamic Disorders in Adolescent with Lordoscoliosis During Correction of Spinal Deformity: Clinical Case and Brief Literature Review |
| title_sort | intraoperative hemodynamic disorders in adolescent with lordoscoliosis during correction of spinal deformity clinical case and brief literature review |
| topic | clinical case lordoscoliosis management of spinal deformities prone position hemodynamics |
| url | https://vsp.spr-journal.ru/jour/article/view/3659 |
| work_keys_str_mv | AT anastasiyaaivanova intraoperativehemodynamicdisordersinadolescentwithlordoscoliosisduringcorrectionofspinaldeformityclinicalcaseandbriefliteraturereview AT sergeygvolkov intraoperativehemodynamicdisordersinadolescentwithlordoscoliosisduringcorrectionofspinaldeformityclinicalcaseandbriefliteraturereview AT dmitryslukyanov intraoperativehemodynamicdisordersinadolescentwithlordoscoliosisduringcorrectionofspinaldeformityclinicalcaseandbriefliteraturereview AT mayanlebedeva intraoperativehemodynamicdisordersinadolescentwithlordoscoliosisduringcorrectionofspinaldeformityclinicalcaseandbriefliteraturereview |