Improvement of Motor-Evoked Potentials by Ketamine and Spatial Facilitation During Spinal Surgery in a Young Child

Monitoring motor evoked potentials is desirable during spine surgery but may be difficult to obtain in small children. In addition, the recording of reliable signals is often hampered by the presence of various anesthetics. We report the case of a young child whose motor evoked potentials were succe...

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Bibliographic Details
Published inAnesthesia and analgesia Vol. 100; no. 6; pp. 1634 - 1636
Main Authors Erb, Thomas O, Ryhult, Sven E, Duitmann, Ewald, Hasler, Carol, Luetschg, Juerg, Frei, Franz J
Format Journal Article
LanguageEnglish
Published Hagerstown, MD International Anesthesia Research Society 01.06.2005
Lippincott
Subjects
Anesthesia
Anesthesia, General
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Dissociative
Anesthetics, Intravenous
Biological and medical sciences
Evoked Potentials, Motor - drug effects
Humans
Infant
Ketamine
Male
Medical sciences
Monitoring, Intraoperative
Orthopedic Procedures
Propofol
Prosthesis Implantation
Spine - surgery
Human
Facilitation
Ketamine
General anesthetic
Evoked potential
Surgery
Anesthesia
Glutamate receptor
Antagonist
NMDA receptor
Child
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Summary:Monitoring motor evoked potentials is desirable during spine surgery but may be difficult to obtain in small children. In addition, the recording of reliable signals is often hampered by the presence of various anesthetics. We report the case of a young child whose motor evoked potentials were successfully monitored using a ketamine-based anesthesia and a newly introduced stimulation technique consisting of combined spatial and temporal facilitation.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0003-2999
1526-7598
DOI:10.1213/01.ANE.0000149896.52608.08