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Article: Improving successful rate of transcranial electrical motor-evoked potentials monitoring during spinal surgery in young children

TitleImproving successful rate of transcranial electrical motor-evoked potentials monitoring during spinal surgery in young children
Authors
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
Citation
European Spine Journal, 2012, v. 21 n. 5, p. 980-984 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/170206
ISSN
2014 Impact Factor: 2.066
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYang, Jen_US
dc.contributor.authorHuang, Zen_US
dc.contributor.authorShu, Hen_US
dc.contributor.authorChen, Yen_US
dc.contributor.authorSun, Xen_US
dc.contributor.authorLiu, Wen_US
dc.contributor.authorDou, Yen_US
dc.contributor.authorXie, Cen_US
dc.contributor.authorLin, Xen_US
dc.contributor.authorHu, Yen_US
dc.date.accessioned2012-10-30T06:06:16Z-
dc.date.available2012-10-30T06:06:16Z-
dc.date.issued2012en_US
dc.identifier.citationEuropean Spine Journal, 2012, v. 21 n. 5, p. 980-984en_US
dc.identifier.issn0940-6719en_US
dc.identifier.urihttp://hdl.handle.net/10722/170206-
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.en_US
dc.languageengen_US
dc.publisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/586en_US
dc.relation.ispartofEuropean Spine Journalen_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectCongenital Scoliosisen_US
dc.subjectIntraoperative Spinal Cord Monitoringen_US
dc.subjectMotor Evoked Potentials (Mep)en_US
dc.subjectSomatosensory Evoked Potentials (Sep)en_US
dc.subjectTotal Intravenous Anesthesia (Tiva)en_US
dc.titleImproving successful rate of transcranial electrical motor-evoked potentials monitoring during spinal surgery in young childrenen_US
dc.typeArticleen_US
dc.identifier.emailHu, Y:yhud@hku.hken_US
dc.identifier.authorityHu, Y=rp00432en_US
dc.description.naturepublished_or_final_versionen_US
dc.identifier.doi10.1007/s00586-011-1995-zen_US
dc.identifier.pmid21874623-
dc.identifier.pmcidPMC3337921-
dc.identifier.scopuseid_2-s2.0-84862891314en_US
dc.identifier.hkuros220317-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84862891314&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume21en_US
dc.identifier.issue5en_US
dc.identifier.spage980en_US
dc.identifier.epage984en_US
dc.identifier.isiWOS:000303513600023-
dc.publisher.placeGermanyen_US
dc.identifier.scopusauthoridYang, J=48462252500en_US
dc.identifier.scopusauthoridHuang, Z=22035189700en_US
dc.identifier.scopusauthoridShu, H=11940274500en_US
dc.identifier.scopusauthoridChen, Y=48461035800en_US
dc.identifier.scopusauthoridSun, X=48462022000en_US
dc.identifier.scopusauthoridLiu, W=48461429200en_US
dc.identifier.scopusauthoridDou, Y=47660931600en_US
dc.identifier.scopusauthoridXie, C=48462015600en_US
dc.identifier.scopusauthoridLin, X=48461455900en_US
dc.identifier.scopusauthoridHu, Y=7407116091en_US
dc.identifier.citeulike9822291-

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