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Article: Improving successful rate of transcranial electrical motor-evoked potentials monitoring during spinal surgery in young children
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TitleImproving successful rate of transcranial electrical motor-evoked potentials monitoring during spinal surgery in young children
 
AuthorsYang, J2
Huang, Z2
Shu, H2
Chen, Y2
Sun, X2
Liu, W2
Dou, Y2
Xie, C2
Lin, X2
Hu, Y1
 
KeywordsCongenital Scoliosis
Intraoperative Spinal Cord Monitoring
Motor Evoked Potentials (Mep)
Somatosensory Evoked Potentials (Sep)
Total Intravenous Anesthesia (Tiva)
 
Issue Date2012
 
PublisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/586
 
CitationEuropean Spine Journal, 2012, v. 21 n. 5, p. 980-984 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s00586-011-1995-z
 
AbstractIntroduction This prospective study was to investigate the successful rate of intraoperative motor evoked potentials (MEP) monitoring for children (<12 years old) with congenital scoliosis. Materials and methods A consecutive series of 27 young children (7 girls and 20 boys; from 1 to 11 years old) between September 2007 and November 2009, were enrolled to this study. 12 patients received general anesthesia based on TIVA, induced with propofol 2-4 mg/kg and fentanyl 3-5 μg/kg followed by a continuous infusion of propofol (20-150 μg/kg/min, at mean of 71.7 μg/kg/min). The other 15 patients received combined inhalation and intravenous anesthesia, induced with sevoflurane and fentanyl 3-5 μg/kg and maintained by sevoflurane (0.5-1%). The maintenance of anaesthesia management was performed with stable physiological parameters during surgery. Results Intraoperative MEP monitoring was successfully performed in all patients, while SEP was successfully performed in 26 of 27 patients. There was no significant difference of successful rates between SEP and MEP monitoring (P>0.05). As well, no difference in MEP successful rates was observed in two groups with different anesthetic techniques. No wake-up test and no post-operative neurological deficits occurred in this series of patients. Conclusion Low dose anesthesia by either TIVA with propofol or sevoflurane-based mixture anesthesia protocol can help the intraoperative spinal cord monitoring to successfully elicit MEP and perform reliable monitoring for patients below 12 years of age. © 2011 Springer-Verlag.
 
ISSN0940-6719
2013 Impact Factor: 2.473
 
DOIhttp://dx.doi.org/10.1007/s00586-011-1995-z
 
PubMed Central IDPMC3337921
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorYang, J
 
dc.contributor.authorHuang, Z
 
dc.contributor.authorShu, H
 
dc.contributor.authorChen, Y
 
dc.contributor.authorSun, X
 
dc.contributor.authorLiu, W
 
dc.contributor.authorDou, Y
 
dc.contributor.authorXie, C
 
dc.contributor.authorLin, X
 
dc.contributor.authorHu, Y
 
dc.date.accessioned2012-10-30T06:06:16Z
 
dc.date.available2012-10-30T06:06:16Z
 
dc.date.issued2012
 
dc.description.abstractIntroduction This prospective study was to investigate the successful rate of intraoperative motor evoked potentials (MEP) monitoring for children (<12 years old) with congenital scoliosis. Materials and methods A consecutive series of 27 young children (7 girls and 20 boys; from 1 to 11 years old) between September 2007 and November 2009, were enrolled to this study. 12 patients received general anesthesia based on TIVA, induced with propofol 2-4 mg/kg and fentanyl 3-5 μg/kg followed by a continuous infusion of propofol (20-150 μg/kg/min, at mean of 71.7 μg/kg/min). The other 15 patients received combined inhalation and intravenous anesthesia, induced with sevoflurane and fentanyl 3-5 μg/kg and maintained by sevoflurane (0.5-1%). The maintenance of anaesthesia management was performed with stable physiological parameters during surgery. Results Intraoperative MEP monitoring was successfully performed in all patients, while SEP was successfully performed in 26 of 27 patients. There was no significant difference of successful rates between SEP and MEP monitoring (P>0.05). As well, no difference in MEP successful rates was observed in two groups with different anesthetic techniques. No wake-up test and no post-operative neurological deficits occurred in this series of patients. Conclusion Low dose anesthesia by either TIVA with propofol or sevoflurane-based mixture anesthesia protocol can help the intraoperative spinal cord monitoring to successfully elicit MEP and perform reliable monitoring for patients below 12 years of age. © 2011 Springer-Verlag.
 
dc.description.naturepublished_or_final_version
 
dc.identifier.citationEuropean Spine Journal, 2012, v. 21 n. 5, p. 980-984 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s00586-011-1995-z
 
dc.identifier.citeulike9822291
 
dc.identifier.doihttp://dx.doi.org/10.1007/s00586-011-1995-z
 
dc.identifier.epage984
 
dc.identifier.hkuros220317
 
dc.identifier.issn0940-6719
2013 Impact Factor: 2.473
 
dc.identifier.issue5
 
dc.identifier.pmcidPMC3337921
 
dc.identifier.pmid21874623
 
dc.identifier.scopuseid_2-s2.0-84862891314
 
dc.identifier.spage980
 
dc.identifier.urihttp://hdl.handle.net/10722/170206
 
dc.identifier.volume21
 
dc.languageeng
 
dc.publisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/586
 
dc.publisher.placeGermany
 
dc.relation.ispartofEuropean Spine Journal
 
dc.relation.referencesReferences in Scopus
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.subjectCongenital Scoliosis
 
dc.subjectIntraoperative Spinal Cord Monitoring
 
dc.subjectMotor Evoked Potentials (Mep)
 
dc.subjectSomatosensory Evoked Potentials (Sep)
 
dc.subjectTotal Intravenous Anesthesia (Tiva)
 
dc.titleImproving successful rate of transcranial electrical motor-evoked potentials monitoring during spinal surgery in young children
 
dc.typeArticle
 
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<contributor.author>Huang, Z</contributor.author>
<contributor.author>Shu, H</contributor.author>
<contributor.author>Chen, Y</contributor.author>
<contributor.author>Sun, X</contributor.author>
<contributor.author>Liu, W</contributor.author>
<contributor.author>Dou, Y</contributor.author>
<contributor.author>Xie, C</contributor.author>
<contributor.author>Lin, X</contributor.author>
<contributor.author>Hu, Y</contributor.author>
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<description.abstract>Introduction This prospective study was to investigate the successful rate of intraoperative motor evoked potentials (MEP) monitoring for children (&lt;12 years old) with congenital scoliosis. Materials and methods A consecutive series of 27 young children (7 girls and 20 boys; from 1 to 11 years old) between September 2007 and November 2009, were enrolled to this study. 12 patients received general anesthesia based on TIVA, induced with propofol 2-4 mg/kg and fentanyl 3-5 &#956;g/kg followed by a continuous infusion of propofol (20-150 &#956;g/kg/min, at mean of 71.7 &#956;g/kg/min). The other 15 patients received combined inhalation and intravenous anesthesia, induced with sevoflurane and fentanyl 3-5 &#956;g/kg and maintained by sevoflurane (0.5-1%). The maintenance of anaesthesia management was performed with stable physiological parameters during surgery. Results Intraoperative MEP monitoring was successfully performed in all patients, while SEP was successfully performed in 26 of 27 patients. There was no significant difference of successful rates between SEP and MEP monitoring (P&gt;0.05). As well, no difference in MEP successful rates was observed in two groups with different anesthetic techniques. No wake-up test and no post-operative neurological deficits occurred in this series of patients. Conclusion Low dose anesthesia by either TIVA with propofol or sevoflurane-based mixture anesthesia protocol can help the intraoperative spinal cord monitoring to successfully elicit MEP and perform reliable monitoring for patients below 12 years of age. &#169; 2011 Springer-Verlag.</description.abstract>
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<subject>Congenital Scoliosis</subject>
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<subject>Somatosensory Evoked Potentials (Sep)</subject>
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Author Affiliations
  1. The University of Hong Kong
  2. Sun Yat-Sen University