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Narcotrend-guided Intraoperative Care of a Trisomy 21 Paediatric Patient Who Underwent Occipitocervical Fusion

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2020 Feb 14
PMID 32051155
Citations 2
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Abstract

A 9-year-old female with Trisomy 21 with complex craniovertebral instability causing severe cervicomedullary compression underwent occipitocervical fusion. This paper will discuss the anaesthetic management and highlight the use of the Narcotrend monitor not only as a depth of consciousness monitor but more importantly as a tool to detect surgery-induced cerebral hypoperfusion by monitoring the right and left cerebral hemispheres independently and simultaneously.

References
1.
Kreuer S, Wilhelm W . The Narcotrend monitor. Best Pract Res Clin Anaesthesiol. 2006; 20(1):111-9. DOI: 10.1016/j.bpa.2005.08.010. View

2.
Skordilis M, Rich N, Viloria A, Dimitrova G, Bergese S, Dzwonczyk R . Processed electroencephalogram response of patients undergoing carotid endarterectomy: a pilot study. Ann Vasc Surg. 2011; 25(7):909-12. DOI: 10.1016/j.avsg.2011.05.011. View

3.
Padberg A, Lenke L, Larson B, Bridwell K, Bassett G . Efficacy of intraoperative monitoring for pediatric patients with spinal cord pathology undergoing spinal deformity surgery. Spine (Phila Pa 1976). 1999; 24(16):1685-92. DOI: 10.1097/00007632-199908150-00010. View

4.
Dennhardt N, Boethig D, Beck C, Heiderich S, Boehne M, Leffler A . Optimization of initial propofol bolus dose for EEG Narcotrend Index-guided transition from sevoflurane induction to intravenous anesthesia in children. Paediatr Anaesth. 2017; 27(4):425-432. DOI: 10.1111/pan.13118. View

5.
Tunstall M . Detecting wakefulness during general anaesthesia for caesarean section. Br Med J. 1977; 1(6072):1321. PMC: 1607133. DOI: 10.1136/bmj.1.6072.1321-a. View