ANESTHESIA MANAGEMENT IN ADULT SCOLIOSIS PATIENTS

Abstract

Introduction: Adult scoliosis surgery management is challenging procedure for both orthopedic surgeons and anesthetists because of the long duration of surgery, difficulties in cannulation and intubation and serious bleeding. In this retrospective study, the anesthesia records of 25 adult patients who underwent scoliosis surgery under general anesthesia between 2010 and 2013 were evaluated in the light of current literature. Material and Methods: Twenty-five adult patients who underwent scoliosis surgery between January 2010 and December 2013 were included in the study. Demographic data, American Society of Anesthesiologists (ASA) classification, Mallampati (MP) score, duration of anesthesia, duration of operation, amount of blood loss data were recorded. Results: The mean age of 25 patients who underwent scoliosis surgery was 26.6 ± 8.80 years. 2 (8 %) of the patients were classified as ASA I, 19 (76 %) ASA II and 4 (4 %) ASA III. MP score was I in ten (40 %) patients, and was recorded as II in 10 (40 %) patients and III in 5 (20 %) patients. The mean duration of anesthesia was 289.80 ± 81.01 minute, the mean amount of blood loss was recorded as 1162 ± 466.72 ml. Twenty (88 %) patients underwent peroperative blood transfusion. Conclusion: Anesthesia management is important in scoliosis surgery due to many complications that may develop especially because of blood loss. Detailed preoperative evaluation should be performed and appropriate preparations should be planned before surgery. © 2019 Authors. All rights reserved.