July 18 Anaes mx of surg repair of adolescent idiopathic scoliosis Flashcards
1
Q
How is Adolescent Idiopathic scoliosis diagnosed? (2)
A
- Adam’s forward bending test - positive if more than 7 degrees
- Radiographs which confirm coronal spinal curvature exceeds a Cobb angle of 10 degrees
2
Q
What are the anaesthetic peri operative considerations for AIS surgery? (8)
A
3
Q
Which drugs intra-op should be avoided when neurophysiology monitoring is occuring? (3)
A
- Long acting NMBDs
- Volatile anaesthetic agents
- Nitrous Oxide
4
Q
What are the complications of prone positioning?
A
- endobronchial placement
- accidental extubation
- brachial plexus injury
- peripheral nerve injury eg ulnar nerve
- aspiration
- decreased venous return
- stroke
- corneal damage
- central retinal artery occlusion
- ischaemic optic neuropathy
- Pressure areas such as genitalia, breasts, knees
