Fritz Harald G, Kuehn Dietmar, Haberland Nils, Kalff Rolf
*Department of Anesthesiology and Intensive Care and †Neurological Surgery, University Hospital, Friedrich Schiller University, Jena, Germany.
Anesth Analg. 2003 Sep;97(3):863-866. doi: 10.1213/01.ANE.0000074233.56115.70.
The development of a spine surgery using neuronavigation with intraoperative computed tomography (CT) is of benefit to the patient. However, the procedure also has a major impact on anesthesia management. During the procedure, the patient remains in the prone position on the CT examination table and is moved extensively during CT scans. Furthermore, there is inadequate separation between operating field and anesthetic area. Problems encountered during the procedure were patient positioning, limited patient access, long tubing, and therefore the need for adequate monitoring. We report our experience using this approach in 35 patients with spinal fracture, spinal degeneration, and tumor and describe a step-by-step anesthetic management protocol that has been developed as a guideline for use in spinal neuronavigation with intraoperative CT at our center.
使用术中计算机断层扫描（CT）神经导航的脊柱手术的发展对患者有益。然而，该手术对麻醉管理也有重大影响。在手术过程中，患者俯卧在CT检查台上，在CT扫描期间会频繁移动。此外，术野和麻醉区域之间的分隔不足。手术中遇到的问题包括患者体位摆放、接近患者受限、管路过长，因此需要进行充分的监测。我们报告了在35例脊柱骨折、脊柱退变和肿瘤患者中使用这种方法的经验，并描述了一个逐步的麻醉管理方案，该方案已被制定为我们中心在术中CT脊柱神经导航中使用的指南。
