脊柱侧弯矫形术术中唤醒方案的研究进展  

Research advances of wake-up test during scoliosis orthopedic surgery

作　　者：张永琼 罗钧升 Zhang Yongqiong;Luo Junsheng(Department of Anesthesiology,Maternal and Child Health Hospital,Fuling District,Chongqing 408099,China)

机构地区：[1]重庆市涪陵区妇幼保健院麻醉科,重庆408099

出　　处：《国际麻醉学与复苏杂志》2024年第7期756-760,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：脊髓损伤是脊柱侧弯矫形术最危险的神经系统并发症之一,术中唤醒试验能够最直接、最有效地监测脊髓功能,因此制定合理的麻醉方案至关重要。目前尚无脊柱侧弯手术唤醒试验麻醉方案的指南推荐。文章就脊柱侧弯矫形术唤醒试验中应用全凭静脉麻醉、竖脊肌平面阻滞(ESPB)联合气管插管全麻、吸入麻醉复合静脉全麻及右美托咪定等进行综述,旨在呈现脊柱侧弯矫形术患者术中唤醒的理想麻醉方案,提高该类手术的麻醉质量和患者安全。Spinal cord injury is one of the most dangerous neurological complications in scoliosis orthopedic surgery.The Wake-up Test is the most direct and effective way to monitor spinal cord function.Therefore,it is very important to develop a reasonable anesthesia scheme.Currently,no recommended guideline is available for anesthesia protocols when wake-up test for scoliosis surgery is needed.In this review,the application of intravenous anesthesia,erector spinae plane block(ESPB)combined with tracheal intubation general anesthesia,inhalation anesthesia combined with intravenous general anesthesia,and dexmedetomidine in the wake-up test for scoliosis orthopedic surgery are summarized to present an ideal anesthesia scheme for patients who need to be waked up during scoliosis orthopedic surgery and improve the quality of anesthesia and patient safety.

关 键 词：全凭静脉麻醉 竖脊肌平面阻滞 吸入麻醉 右美托咪定 唤醒试验 脊柱侧弯矫形术 

分 类 号：R614[医药卫生—麻醉学]