Anesthesia for Spine Surgery

The increased complexity of spinal surgical procedures in recent years has required more sophisticated anesthetic management of patients undergoing these procedures. Spine surgery anesthesia is now recognized as a distinct sub-specialty, increasingly undertaken by general anesthesiologists as well as neuroanesthesiologists. Anesthesia for Spine Surgery describes the anesthetic management and surgical procedures at every vertebral level in both adult and pediatric patients. The most important related considerations are covered, including: • Postoperative pain management • One lung ventilation during anterior thoracic spine surgery • Intraoperative neuromonitoring • Fluid management Additional chapters review the radiological features of normal and abnormal spines, common complications of spine surgery and ASA closed claims relating to spine surgery anesthesia. Written by highly experienced neuroanesthesiologists and spine surgeons, Anesthesia for Spine Surgery is essential reading for trainee and practising anesthesiologists, neuroanesthesiologists and spine surgeons.

Preface; Part I. General Considerations: 1. Preoperative assessment of the adult patient Elizabeth A. M. Frost; 2. Fluid management Maria Bauer, Andrea Kurz and Ehab Farag; 3. Blood conservation Robert Helfand; 4. Upper airway management Basem Abdelmalak and D. John Doyle; 5. Spine imaging Doksu Moon, Christian Koopman and Ramez Malaty; 6. Evoked potential monitoring Chakorn Chansakul and Dileep R. Nair; 7. Pharmacology of adjunct anesthetic drugs John E. Tetzlaff; Part II. Spine Surgery for Adult Patients: 8. Surgical techniques: 8.1. Anterior cervical surgery Iain H. Kalfas; 8.2. Posterior cervical surgery Kalil G. Abdullah, Jeffrey G. Clark, Daniel Lubelski and Thomas E. Mroz; 8.3. Intraoperative neurophysiologic monitoring: surgeon point-of-view Manuel Saavedra and Robert F. McLain; 8.4. An overview of minimally invasive spine surgery R. Douglas Orr; 8.5. Posterior lumbar interbody fusion Virgilio Matheus and William Bingaman; 8.6. Minimally invasive procedures for vertebral compression fractures Jason E. Pope and Nagy Mckhail; 8.7. Endoscopic surgery for Chiari type I malformation Rodolfo Hakim and Xiao Di; 8.8. Posterior and anterior thoracic surgery Matthew Grosso and Michael Steinmetz; 8.9. Surgery for intermedullary spinal cord tumors John H. Shin and Edward C. Benzel; 8.10. Avoiding complications: surgeon point-of-view Michael Kelly and Richard Schlenk; 9. Anesthsia for cervical spine surgery Alaa A. Abd-Elsayed and Ehab Farag; 10. Anesthesia for thoracic spine surgery Rafi Avitsian; 11. Lung isolation during thoracic spine surgery Gordon Finlayson and Jay B. Brodsky; 12. Anesthesia for lumbar spine surgery Mariel R. Manlapaz, Ajit A. Krishnaney and Zeyd Ebrahim; 13. Anesthetic management of spinal cord trauma Brian P. Lemkuil and Piyush M. Patel; 14. Anesthesia for patients with spinal cord tumors Stacie Deiner and Jeffrey Silverstein; Part III. Postoperative Care of the Adult Patient: 15. Complications Lorri A. Lee and Karen B. Domino; 16. Postoperative care in the PACU Maged Argalious; 17. Postoperative care in the neuro-intensive care unit James K. Liu, Dani S. Bodros and Edward M. Manno; 18. Postoperative acute pain Juan P. Cata and Sherif Zaky; 19. Postoperative chronic pain management Dmitiri Souzdalntiski and Jianguo Cheng; Part IV. Spine Surgery for Pediatric Patients: 20. Pathophysiology of the pediatric patient Stephen J. Kimatian and Kenneth J. Saliba; 21. Preoperative evaluation of the pediatric patient Sara P. Lozano and Julie Niezgoda; 22. Fluid management and monitoring of the pediatric patient Tunga Suresh, Patrick M. Callahan and Peter J. Davis; 23. Surgical techniques in the pediatric patient: 23.1. Scoliosis David Gurd; 23.2. Tethered cord: surgical release Mark Luciano; 24. Spinal surgery for patients with congenital heart disease and other associated conditions Patrick M. Callahan, Tunga Suresh and Peter J. Davis; 25. Postoperative pain control in pediatric patients Rami Karroum, Loran Soliman Mounir and John Seif; Index.

Anesthesia for Spine Surgery is now recognized as a distinct sub-specialty. All aspects of anesthetic management are reviewed in detail, including preoperative assessment and postoperative care. Each spine surgical procedure is discussed; both adult and pediatric patients are evaluated. Essential reading for trainee and practising anesthesiologists, neuroanesthsiologists and spine surgeons.

Ehab Farag, MD, FRCA, is Staff Anesthesiologist in the Departments of General Anesthesia and Outcomes Research, Cleveland Clinic, Ohio, USA.