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dc.contributor.authorCanelli, Robert
dc.contributor.authorWeaver, John P.
dc.contributor.authorCosar, Elifce
dc.date2022-08-11T08:07:57.000
dc.date.accessioned2022-08-23T15:37:24Z
dc.date.available2022-08-23T15:37:24Z
dc.date.issued2012-03-24
dc.date.submitted2012-08-13
dc.identifier.doi10.13028/7kfh-3t10
dc.identifier.urihttp://hdl.handle.net/20.500.14038/25707
dc.description<p>Poster presentation at the New England Anesthesia Resident Conference, held on March 24, 2012 in Burlington, VT. Also presented at the Annual Meeting of the American Society of Anesthesiologists, Washington, DC, October 2012.</p>
dc.description.abstract67 year-old female with a history of rheumatoid arthritis (RA) and pulmonary hypertension (PH) presented for urgent C4-C5 anterior diskectomy and C3-C6 posterior fusion for cervical subluxation. C-spine MRI showed severe cord impingement. The patient was brought to the operating room with minimal sedation to avoid exacerbation of PH. The radial artery was inaccessible due to flexion deformities, thus a brachial arterial line was placed. Awake fiberoptic intubation was performed with dexmedetomidine, followed by demonstration of movement of all four extremities. The anesthesia was maintained with dexmedetomidine and desflurane. The anterior and posterior portions of the procedure were performed uneventfully with no change in baseline somatosensory evoked potentials (SSEP) and motor evoked potentials (MEP). The patient was extubated at the end of the case and was followed in the intensive care unit (ICU) and was discharged to rehabilitation in good condition.
dc.language.isoen_US
dc.rightsCopyright the Author(s)
dc.subjectSpinal Fusion
dc.subjectArthritis, Rheumatoid
dc.subjectHypertension, Pulmonary
dc.subjectAnesthesia
dc.subjectAnesthesiology
dc.titleAnesthetic Considerations for Cervical Fusion Surgery in Advanced Rheumatoid Arthritis and Severe Pulmonary Hypertension
dc.typePoster
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1120&amp;context=anesthesiology_pubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/anesthesiology_pubs/112
dc.identifier.contextkey3208521
refterms.dateFOA2022-08-23T15:37:24Z
html.description.abstract<p>67 year-old female with a history of rheumatoid arthritis (RA) and pulmonary hypertension (PH) presented for urgent C4-C5 anterior diskectomy and C3-C6 posterior fusion for cervical subluxation. C-spine MRI showed severe cord impingement. The patient was brought to the operating room with minimal sedation to avoid exacerbation of PH. The radial artery was inaccessible due to flexion deformities, thus a brachial arterial line was placed. Awake fiberoptic intubation was performed with dexmedetomidine, followed by demonstration of movement of all four extremities. The anesthesia was maintained with dexmedetomidine and desflurane. The anterior and posterior portions of the procedure were performed uneventfully with no change in baseline somatosensory evoked potentials (SSEP) and motor evoked potentials (MEP). The patient was extubated at the end of the case and was followed in the intensive care unit (ICU) and was discharged to rehabilitation in good condition.</p>
dc.identifier.submissionpathanesthesiology_pubs/112
dc.contributor.departmentDepartment of Surgery
dc.contributor.departmentDepartment of Anesthesiology


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