Refractory Hypotension Caused By Prone Position in a Child Undergoing Scoliosis Corrective Surgery
Journal Title: Journal of Case Reports and Studies - Year 2014, Vol 2, Issue 5
Abstract
We report a case of a teenager with scoliosis and pectus excavatum who developed intraoperative refractory hypotension associated with prone position during posterior surgical correction of scoliosis. In this case, it was more difficult for the anesthetists to figure out the reason leading to severe hypotension when a surgery was partially completed, because there might be many confounding factors during surgery. Furthermore, TEE was difficult to be considered to be first diagnosis choice when patient have already underwent posterior spinal fusion surgery, compared to the cases previous reported that the surgery still did not begin. Nevertheless, we managed to complete our partially completed surgery in a lateral prone position by one stage in a creative way. This report provides sufficient and logical differential diagnosis for the management of intraoperative hypotension associated with prone position. Moreover, our case strongly suggests that more detailed preoperative assessments are necessary to identify the potential risk of prone position on intraoperative blood pressure in scoliosis patients with pectus excavatum or Marfan’s-like feature.
Authors and Affiliations
Shu H
Keywords
Related Articles
- EP ID EP582760
- DOI 10.15744/2348-9820.2.205
- Views 102
- Downloads 0
Spontaneous CSF Rhinorrhea as Clinical Symptom of an Idiopathic Temporal Encephalocele in a 64 Year Old Man
A rare case of idiopathic temporomesial encephalocele in a 64 years old female is presented. The clinical symptoms of this adult patient were spontaneous rhinorrhea and headaches. A temporomesial encephalocele could be d...
A Rare Case Report of a Child Coexistence Thyroglossal Cyst and Second Branchial Cleft Fistulae
Congenitalcervical anomalies are important to consider in the differential of head and neck masses in children and adults. These lesions can present as palpable cystic masses, infected masses, draining sinuses, or fistul...
Infantile Acute Generalized Pustular Psoriasis: A Case Report
Generalized pustular psoriasis (GPP) is an acute and uncommon form of psoriasis, representing about 3% of all psoriasis cases. Triggers may include streptococcical infections, emotional stress, vaccinations and exposure...
Cost Effective Treatment of Pseudo Class III Malocclusion in a Permanent Dentition with a Simple Removable Appliance
Treating a Class III malocclusion has always been a challenge to the clinician beginning with the proper diagnosis, treatment options and the time of treatment. Few are of the opinion that the malocclusion should be corr...
Ventricular Arrhythmia Due to Yellow Phosphorus Poisoning
Background: Ratol paste (Yellow Phosphorus) is a local and systemic toxin affecting almost all the organs of the body especially liver, kidney, brain and heart. There is no specific antidote for yellow phosphorus poisoni...