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 93
- Downloads 0
Kawasaki Disease Presented with Meningitis in an Egyptian Adolescent
Kawasaki disease is an acute vasculitis of childhood. There is varying incidence among ethnic groups with higher rates among Asians. An Egyptian male adolescent 12 years old presented with fever, loss of appetite, nausea...
A Traumatic Context Can Hide a Sexual Rape
Aeric syndrome during a multiple trauma reflects the severity of this latter, which made mention to extra thoracic or intra thoracic lesion. This requires a good diagnostic and therapeutic strategy. We report the case of...
Cardiac Permanent Pacing after a Correction of a Congenital Heart Defect
The incidence of complete heart block following Glenn’s shunt is not known. Complete heart block may occur immediately after surgery or early in the postoperative period and also may occur many months or years after surg...
Severe Bone Marrow Suppression Associated with Use of Clopidogrel
A 60 year-old male presented with fever, malaise, and myalgias. The patient was admitted 3 weeks prior for acute coronary syndrome, underwent coronary stent placement, and was started on clopidogrel. He denied any chills...
Unusual Presentation of CML in Pregnancy
Background: Leukemia during pregnancy is rare, posing a complex series of questions, including appropriate therapy and maternal counseling. Management of chronic myelocytic leukemia (CML) during pregnancy is limited. Cas...