Mahajan Shalvi, Swami Adarsh Chandra, Kumar Amit
Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
Department of Anaesthesia and Intensive Care, Fortis Hospital, Mohali, Punjab, India.
Asian J Neurosurg. 2019 Nov 25;14(4):1253-1255. doi: 10.4103/ajns.AJNS_224_19. eCollection 2019 Oct-Dec.
Cardiovascular changes following lumbar spine surgeries in the prone position have been less commonly described. Here, we report a case of an elderly male patient undergoing lumbar spine decompression and transforaminal interbody fusion who developed multiple but transient episodes of hypotension and bradycardia. Anesthesiologist should be vigilant while monitoring such patients and should use invasive blood pressure monitoring if possible, so as to detect transient cardiovascular episodes which may progress and results in a dreadful outcome.
俯卧位腰椎手术后的心血管变化较少被描述。在此，我们报告一例老年男性患者，在接受腰椎减压和经椎间孔椎间融合术时出现多次短暂的低血压和心动过缓发作。麻醉医生在监测此类患者时应保持警惕，如有可能应使用有创血压监测，以便检测可能进展并导致可怕后果的短暂心血管事件。
