Cover; Anesthesia for Spine Surgery; Title; Copyright; Dedication; Contents; Contributors; Foreword by Dr. Edward Benzel; Foreword by Dr. David Brown; Preface; Section 1 General considerations; Preoperative assessment of the adult patient; Key points; Introduction; General guidelines; Site of surgery; Cervical and elective surgery; Upper levels; Upper levels; Middle and lower levels; elective surgery; Thoracic levels: elective surgery; Lumbar level: elective surgery; Smoking; Obesity; Pulmonary hypertension; Diabetes mellitus; Drug interactions; Renal impairment; Hematologic disorders.
Consent issuesEmergency spine surgery; Acute injury; Clinical features; Diagnosis/treatment; Systems assessment; Respiratory system; Respiratory system; Cardiovascular system; Musculoskeletal system; Genitourinary system; Gastrointestinal system; Hematologic management; Cardiovascular system; Musculoskeletal system; Genitourinary system; Gastrointestinal system; Hematologic management; Conclusion; Fluid management; Key points; Introduction; Pathophysiology of prone position; Endothelial glycocalyx; The important functions of glycocalyx; Perioperative fluid management and glycocalyx.
Intravenous fluids commonly used in spine surgeryCrystalloids; Normal saline; Normal saline; Lactated Ringer's; Lactated Ringer's; Colloids; Albumin; Hydroxyethyl starch; Albumin; Hydroxyethyl starch; Goal-directed fluid therapy; Static variables of preload and fluid responsiveness; Cardiac filling pressures; Cardiac filling pressures; Pulmonary artery occlusion pressure; Pulmonary artery occlusion pressure; Global end-diastolic volume obtained by transpulmonary thermodilution; FloTrac/Vigileo; Dynamic variables of fluid responsiveness; Systolic and pulse pressure variation.
Systolic and pulse pressure variationStroke volume variation and pulse contour analysis; Limitations of heart-lung interaction as a predictor of fluid responsiveness; Stroke volume variation and pulse contour analysis; Limitations of heart-lung interaction as a predictor of fluid responsiveness; Conclusion; Blood conservation; Key points; Preoperative measures; Antifibrinolytic treatments; Recombinant activated factor VII; Preoperative autodonation; Acute normovolemic hemodilution; Intraoperative red cell salvage; Postoperative cell salvage; Point of care testing; Quality management; Summary.
Airway management in spine surgeryKey points; Introduction; Tracheal intubation in patients undergoing spine surgery; Role of the ASA Difficult Airway Algorithm; Prediction of intubation difficulty: intubation difficulty scale; Laryngoscopes; Tracheal intubation in patients with cervical spine instability; Use of succinylcholine in patients undergoing spine surgery; Flexible fiberoptic intubation and awake intubation; Airway edema in spine cases; Spine surgery requiring the use of double-lumen tubes; Management of accidental extubation; Spine surgery under spinal anesthesia.
Note
The utility of supraglottic airway devices in spine surgery.
Summary
A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
