The effect of dexmedetomidine on motor-evoked potentials during pediatric posterior spinal fusion surgery: a retrospective analysis.
Dexmedetomidine Effect on MEP
DOI:
https://doi.org/10.5281/zenodo.14369796Keywords:
MEP, Spine Deformity, Pediatric, AnesthesiaAbstract
Intraoperative neurophysiological monitoring has rapidly become a de facto standard of care for pediatric posterior spine fusion surgeries, but debate still surrounds the optimal anesthetic regime to facilitate monitoring. Recent publications have questioned whether Dexmedetomidine is compatible with MEP monitoring. We report our real-world experience and conclude that in moderation, as a part of a balanced anesthetic protocol Dexmedetomidine is beneficial to the holistic care of the pediatric spine deformity patient.
References
Holt F, Strantzas S, Zaarour C, et al. The effect of dexmedetomidine on motor-evoked potentials during pediatric posterior spinal fusion surgery: a retrospective case-control study. Can J Anaesth. 2020; 67:1341–1348
Vitale MG, Skaggs DL, Pace GI, et al. Best practices in intraoperative neuromonitoring in spine deformity surgery: development of an intraoperative checklist to optimize response. Spine Deform 2014; 2: 333-9.
Naaz S, Ozair E. Dexmedetomidine in current anaesthesia practice- a review. J Clin Diagn Res. 2014;8(10):GE01-GE4.
Anschel DJ, Aherne A, Soto RG, et al. Successful intraoperative spinal cord monitoring during scoliosis surgery using a total intravenous anesthetic regimen including dexmedetomidine. J Clin Neurophysiol. 2008; 25(1):56-61.
Bala E, Sessler DI, Nair DR, et al. Motor and somatosensory evoked potentials are well maintained in patients given dexmedetomidine during spine surgery. Anesthesiology. 2008; 109(3):417-25.
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