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Article: Severe hypotension and hepatic dysfunction in a patient undergoing scoliosis surgery in the prone position

TitleSevere hypotension and hepatic dysfunction in a patient undergoing scoliosis surgery in the prone position
Authors
Issue Date2005
PublisherAustralian Society of Anaesthetists. The Journal's web site is located at http://www.aaic.net.au
Citation
Anaesthesia And Intensive Care, 2005, v. 33 n. 3, p. 393-399 How to Cite?
AbstractMany patients with neuromuscular disorders develop progressive scoliosis and require corrective surgery. We present a patient with hereditary motor and sensory neuropathies who developed severe hypotension during corrective surgery for thoracolumbar scoliosis. The haemodynamic disturbance was probably secondary to thoracic hyperlordosis and the knee-chest position and was aggravated by surgical manipulation. This may beprevented by tailored preoperative evaluation of different patient prone position supports and frames in order to select that which causes least cardiovascular and respiratory disturbance. This patient also developed severely deranged liver function postoperatively and the possible aetiology is discussed.
Persistent Identifierhttp://hdl.handle.net/10722/147212
ISSN
2015 Impact Factor: 1.283
2015 SCImago Journal Rankings: 0.488
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYuen, VMYen_US
dc.contributor.authorChow, BFMen_US
dc.contributor.authorIrwin, MGen_US
dc.date.accessioned2012-05-29T06:00:49Z-
dc.date.available2012-05-29T06:00:49Z-
dc.date.issued2005en_US
dc.identifier.citationAnaesthesia And Intensive Care, 2005, v. 33 n. 3, p. 393-399en_US
dc.identifier.issn0310-057Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/147212-
dc.description.abstractMany patients with neuromuscular disorders develop progressive scoliosis and require corrective surgery. We present a patient with hereditary motor and sensory neuropathies who developed severe hypotension during corrective surgery for thoracolumbar scoliosis. The haemodynamic disturbance was probably secondary to thoracic hyperlordosis and the knee-chest position and was aggravated by surgical manipulation. This may beprevented by tailored preoperative evaluation of different patient prone position supports and frames in order to select that which causes least cardiovascular and respiratory disturbance. This patient also developed severely deranged liver function postoperatively and the possible aetiology is discussed.en_US
dc.languageengen_US
dc.publisherAustralian Society of Anaesthetists. The Journal's web site is located at http://www.aaic.net.auen_US
dc.relation.ispartofAnaesthesia and Intensive Careen_US
dc.subject.meshAdulten_US
dc.subject.meshHereditary Sensory And Motor Neuropathy - Complicationsen_US
dc.subject.meshHumansen_US
dc.subject.meshHypotension - Etiologyen_US
dc.subject.meshIschemia - Etiologyen_US
dc.subject.meshLiver Diseases - Enzymology - Etiologyen_US
dc.subject.meshLordosis - Radiographyen_US
dc.subject.meshMaleen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshProne Positionen_US
dc.subject.meshScoliosis - Complications - Surgeryen_US
dc.titleSevere hypotension and hepatic dysfunction in a patient undergoing scoliosis surgery in the prone positionen_US
dc.typeArticleen_US
dc.identifier.emailIrwin, MG:mgirwin@hku.hken_US
dc.identifier.authorityIrwin, MG=rp00390en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid15973925-
dc.identifier.scopuseid_2-s2.0-21344439347en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-21344439347&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume33en_US
dc.identifier.issue3en_US
dc.identifier.spage393en_US
dc.identifier.epage399en_US
dc.identifier.isiWOS:000231076900017-
dc.publisher.placeAustraliaen_US

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