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.