Neurophysiological monitoring under anesthesia to position a child with extreme lumbar spine flexion for MRI and CT scan |
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Authors: | Gundlapalli Sai Anand Rahul S Schwartz Daniel M Wierzbowski Lawrence R Cohen David E Cook-Sather Scott D |
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Affiliation: | Department of Anesthesia, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. |
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Abstract: | A novel application of neurophysiological monitoring enabled us safely to anesthetize and position a child with severe lumbosacral spine flexion for diagnostic MRI and CT scan. We conducted a propofol-based anesthetic to optimize somatosensory (SSEP) and transcranial electric motor (tceMEP) evoked potential amplitudes, thereby facilitating dynamic neurological monitoring while fully extending the patient supine. In cases outside the operating room involving extraordinary changes in patient position, anesthesia providers may consider utilizing neurophysiological monitoring. |
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Keywords: | monitoring neurophysiological evoked potentials somatosensory transcranial electric motor |
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