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DOI: 10.4103/ajns.AJNS_224_19
Cardiovascular changes and lumbar spine surgery: A neglected entity
Authors

Cardiovascular changes following lumbar spine surgeries in the prone position have been less commonly described. Here, we report a case of an elderly male patient undergoing lumbar spine decompression and transforaminal interbody fusion who developed multiple but transient episodes of hypotension and bradycardia. Anesthesiologist should be vigilant while monitoring such patients and should use invasive blood pressure monitoring if possible, so as to detect transient cardiovascular episodes which may progress and results in a dreadful outcome.
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Publication History
Article published online:
09 September 2022
© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Partida E, Mironets E, Hou S, Tom VJ. Cardiovascular dysfunction following spinal
cord injury. Neural Regen Res 2016;11:189-94.
Reference Ris Wihthout Link
- 2 Kinsella SM, Tuckey JP. Perioperative bradycardia and asystole: Relationship to vasovagal
syncope and the bezold-jarisch reflex. Br J Anaesth 2001;86:859-68.
Reference Ris Wihthout Link
- 3 Groen GJ, Baljet B, Drukker J. The innervation of the spinal dura mater: Anatomy
and clinical implications. Acta Neurochir (Wien) 1988;92:39-46.
Reference Ris Wihthout Link
- 4 Deschamps A, Carvalho G. Lumbo-sacral spine surgery and severe bradycardia. Can J
Anaesth 2004;51:277.
Reference Ris Wihthout Link
- 5 Mandal NG. More on lumbo-sacral spine surgery and bradycardia. Can J Anaesth 2004;51:942-3.
Reference Ris Wihthout Link
- 6 Chowdhury T, Sapra H, Dubey S. Severe hypotension in transforaminal lumbar interbody
fusion surgery: Is it vasovagal or? Asian J Neurosurg 2017;12:149-50.
Reference Ris Wihthout Link
- 7 Chowdhury T, Narayanasamy S, Dube SK, Rath GP. Acute hemodynamic disturbances during
lumbar spine surgery. J Neurosurg Anesthesiol 2012;24:80-1.
Reference Ris Wihthout Link
- 8 Chowdhury T, Schaller B. The negative chronotropic effect during lumbar spine surgery:
A systemic review and aggregation of an emerging model of spinal cardiac reflex. Medicine
(Baltimore) 2017;96:e5436.
Reference Ris Wihthout Link
- 9 Dooney N. Prone CPR for transient asystole during lumbosacral spinal surgery. Anaesth
Intensive Care 2010;38:212-3.
Reference Ris Wihthout Link