Chen Yi-Chun, Ting Chien-Kun, Tsou Mei-Yung, Chan Kwok-Hon, Chu Ya-Chun
Department of Anesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan, R.O.C.
Acta Anaesthesiol Taiwan. 2010 Dec;48(4):185-7. doi: 10.1016/j.aat.2010.12.005. Epub 2010 Dec 22.
We present our experience in intraoperative wake-up test in a deaf-mute feminine teenager who underwent spine surgery for correction of lordoscoliosis. Inadequate comprehension of the preoperative instructions, together with higher threshold of arousal in deaf-mutism may possibly contribute to lingering of the test. The report implicated direct, painful stimulation of the tested limbs, rather than indirect cues, such as flap on the dorsum of hands would be required for performance of wake-up test in the deaf-mute patients.
