Sedation for Percutaneous Endoscopic Lumbar Discectomy
Yükleniyor...
Dosyalar
Tarih
2016
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Hindawi Limited
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Although anesthetic requirements for minimally invasive neurosurgical techniques have been described in detail and applied successfully since the early 2000s, most of the literature on this subject has dealt with cranial cases that were operated on in the supine or sitting positions. However, spinal surgery has also used minimally invasive techniques that were performed in prone position for more than 30 years to date. Although procedures in both these neurosurgical techniques require the patient to be awake for a certain period of time, the main surgical difference with minimally invasive spinal surgery is that the patients are in the prone position, which may result in increased requirement of airway management because of deep sedation. In addition, although minimally invasive spinal surgery progresses slowly and different techniques are used with no agreement on the terminology used to describe these techniques thus far, the anesthetist needs to understand the surgical and anesthetic requirements for each type of intervention in order to take necessary precautions. This paper reviews the literature on this topic and discusses the anesthetic necessities for percutaneous endoscopic laser surgery. © 2016 Menekse Oksar.
Açıklama
Anahtar Kelimeler
Anesthesiology, Conscious Sedation, Deep Sedation, Diskectomy, Percutaneous, Endoscopy, Humans, Intervertebral Disc Displacement, Lumbar Vertebrae, Minimally Invasive Surgical Procedures, alfentanil, analgesic agent, anesthetic agent, dexmedetomidine, isoflurane, midazolam, propofol, remifentanil, sedative agent, sufentanil, adverse outcome, anesthesia induction, anesthesia level, bispectral index, clinical effectiveness, clinical trial (topic), drug infusion, drug safety, endoscopic surgery, human, laser surgery, lumbar disk, lumbar disk hernia, minimally invasive procedure, neurosurgery, patient monitoring, patient safety, percutaneous discectomy, respiration depression, Review, sedation, surgical risk, systematic review, anesthesiology, conscious sedation, deep sedation, endoscopy, Intervertebral Disc Displacement, lumbar vertebra, minimally invasive surgery, percutaneous discectomy, procedures
Kaynak
Scientific World Journal
WoS Q Değeri
Scopus Q Değeri
Q1
Cilt
2016
