Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care

被引:13
作者
Blacker, Samuel N. [1 ]
Vincent, Anita [2 ]
Burbridge, Mark [3 ]
Bustillo, Maria [4 ]
Hazard, Sprague W. [5 ]
Heller, Benjamin J. [6 ]
Nadler, Jacob W. [7 ]
Sullo, Elaine [8 ]
Lele, Abhijit, V [9 ]
机构
[1] Univ N Carolina, Dept Anesthesiol, Chapel Hill, NC 27599 USA
[2] George Washington Univ, Dept Anesthesiol & Crit Care Med, Sch Med, Washington, DC USA
[3] George Washington Univ, Hinamelfarb Hlth Sci Lib, Washington, DC USA
[4] Stanford Hlth Care, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA USA
[5] Weill Cornell Med, Dept Anesthesiol, New York, NY USA
[6] Univ Rochester, Dept Anesthesiol & Perioperat Med, Med Ctr, Rochester, NY USA
[7] Penn State Hershey Anesthesiol & Perioperat Med, Hershey, PA USA
[8] Univ Texas Southwestern Med Ctr Dallas, Dept Anesthesiol & Pain Management, Dallas, TX USA
[9] Univ Washington, Dept Anesthesiol & Pain Med, Harborview Med Ctr, Seattle, WA USA
关键词
perioperative care; spine surgery; guidelines; recommendations; MOTOR-EVOKED-POTENTIALS; TRANSCRANIAL ELECTRICAL-STIMULATION; TOTAL INTRAVENOUS ANESTHESIA; LUMBAR INTERBODY FUSION; POSTOPERATIVE EPIDURAL ANALGESIA; HIGHLY SUSCEPTIBLE PATIENTS; PULSE PRESSURE VARIATION; BLOOD-CELL TRANSFUSION; FRAIL ELDERLY-PEOPLE; DOSE TRANEXAMIC ACID;
D O I
10.1097/ANA.0000000000000799
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Evidence-based standardization of the perioperative management of patients undergoing complex spine surgery can improve outcomes such as enhanced patient satisfaction, reduced intensive care and hospital length of stay, and reduced costs. The Society for Neuroscience in Anesthesiology and Critical Care (SNACC) tasked an expert group to review existing evidence and generate recommendations for the perioperative management of patients undergoing complex spine surgery, defined as surgery on 2 or more thoracic and/or lumbar spine levels. Institutional clinical management protocols can be constructed based on the elements included in these clinical practice guidelines, and the evidence presented.
引用
收藏
页码:257 / 276
页数:20
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