Intraoperative Neuromonitoring for Spinal Surgery in a Pregnant Patient: Case Report and Literature Review

Autor:	Mayank, Tyagi, Megha, Bir, Akanksha, Sharma, Pankaj K, Singh, Ashish, Bindra, P Sarat, Chandra
Rok vydání:	2022
Předmět:	Adult Spinal Neoplasms Intraoperative Neurophysiological Monitoring Cardiotocography Evoked Potentials Motor Neurosurgical Procedures Spine Pregnancy Complications Fentanyl Pregnancy Evoked Potentials Somatosensory Humans Female Hemangioma Propofol Evoked Potentials Anesthetics Intravenous Retrospective Studies
Zdroj:	Neurology India. 70
ISSN:	1998-4022
Popis:	We report the strategy of anesthesia and intraoperative neurophysiological monitoring (IONM) in a 29-year-old, 22 weeks pregnant patient posted for surgery for aggressive vertebral body hemangioma. We used propofol and fentanyl-based anesthesia for IONM. Motor-evoked potentials (MEP) and somatosensory-evoked potentials (SSEP) were used to monitor the neural tracts during surgery. Fetal heart rate monitoring was done preoperatively and postoperatively. Train of 8, 75 μs duration pulse, 250-500 Hz stimulus was used for MEP and 30 mA, 200-400 μs, 3-5 Hz was used for SSEP. No new motor or somatosensory deficits appeared. Our findings suggest that IONM can be safely done in pregnant women.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::2f4576d6954fec562f66df4d52ec35a9 https://pubmed.ncbi.nlm.nih.gov/36412388 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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