唤醒测试在脊柱侧弯手术中的相关性:叙述性综述

IF 0.2 Q4 ANESTHESIOLOGY
S. Nikhar, Abinash Patro, Raju Iyengar, R. Gopinath
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引用次数: 0

摘要

脊柱侧弯矫正手术有许多并发症;神经系统并发症就是其中之一。术中评估脊髓完整性对于避免术后损伤并取得良好结果非常重要。唤醒测试是老一辈的标准护理,但现在有了先进的神经生理学监测、体感和运动诱发电位;唤醒测试的相关性值得怀疑。这篇综述旨在评估唤醒测试在脊柱侧弯手术中与先进技术可用性的相关性。在PubMed、Google search和Scopus EndNote X6版本中进行了全面的文献搜索,搜索的关键词为脊柱侧弯、神经生理学监测和唤醒测试。对不同的研究结果进行了解释,得出了结论。这篇综述让我们详细了解了可用的不同测试以及每种测试的陷阱,最后我们应该采取什么立场。该综述强调了外科医生、麻醉师和神经学家之间的良好合作,以得出神经生理学监测测试的结果。术中神经系统监测可改善术后疗效。只有在高级监控不可用、测试结果混乱和信号持续减少的情况下,才强烈建议进行唤醒测试。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The relevance of the wake-up test in scoliosis surgery: A narrative review
The corrective scoliosis surgery is associated with many complications; the neurologic complication is one of them. It is very important to assess spinal cord integrity intraoperatively to avoid postoperative damage and have a good outcome. Wake-up test was the standard of care in old generations but now with the availability of advanced neurophysiologic monitoring somatosensory and motor-evoked potentials; the relevance of wake-up test is questionable. This review aimed to assess the relevance of wake-up test in scoliosis surgery with availability of advanced technology. Comprehensive literature search was performed in PubMed, Google Search and Scopus, EndNote X6 version, and the keywords used for the search were scoliosis, neurophysiologic monitoring, and wake-up test. The different study results were interpreted to come to conclusion. This review gives us a detailed idea of the different tests available and pitfalls with each and finally what should be our stand. The review highlighted the good collaboration between surgeon, anesthesiologist, and neurologist to conclude the results of the tests of neurophysiologic monitoring. Intraoperative neurologic monitoring improves postoperative outcome. Wake-up test is only and strongly recommended, in case of unavailability of advanced monitoring, confusion on test results, and persistent signal reduction.
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来源期刊
Indian Anaesthetists Forum
Indian Anaesthetists Forum ANESTHESIOLOGY-
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发文量
17
审稿时长
6 weeks
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