Anesthetic and Post-operative Pain Management
@inproceedings{Goeller2020AnestheticAP, title={Anesthetic and Post-operative Pain Management}, author={Jessica K Goeller and Leelach Rothschild}, year={2020} }
Patients with osteogenesis imperfecta, especially the moderate to severe types, require frequent surgical intervention. Anesthetic management and post-operative pain management benefit from careful preparation and a multimodal analgesic approach. Perioperative challenges that are of primary concern for anesthesiologists include airway challenges, intravenous catheter placement challenges, neuraxial and regional anesthesia placement difficulty, and significant intraoperative blood loss…
References
SHOWING 1-10 OF 10 REFERENCES
Perioperative Management of Pediatric Patients with Osteogenesis Imperfecta Undergoing Orthopedic Procedures
- MedicineCurrent Anesthesiology Reports
- 2017
Osteogenesis imperfecta (OI) is a predominantly autosomal dominant inherited condition involving connective tissue associated with not only bone fragility, but multi-system involvement with…
Basilar impression and osteogenesis imperfecta: a 21-year retrospective review of outcomes in 20 patients.
- MedicineJournal of neurosurgery. Spine
- 2007
Aggressive ventral decompression surgery and dorsal stabilization for patients with BI secondary to OI can not only halt disease progression but can also produce a good and sustainable long-term functional outcome, even in those patients who present as severely symptomatic.
Intraoperative bleeding in patients with osteogenesis imperfecta type III treated by Fassier–Duval femoral rodding: analysis of risk factors
- MedicineJournal of pediatric orthopedics. Part B
- 2018
The number of osteotomies, the patient’s age and the intake of bisphosphonates for at least 1 year seem to be the best predictive factors for blood loss in patients affected by OI type III undergoing surgical procedures.
Anaesthesia for children with osteogenesis imperfecta – a review covering 30 years and 266 anaesthetics
- Medicine
- 1992
The concept that malignant hyperpyrexia is an associated condition is refuted although these patients may have an increased metabolic rate and a tendency to pyrexia.
Local Anesthetic Systemic Toxicity (LAST): Not Gone, Hopefully Not Forgotten
- MedicineRegional Anesthesia & Pain Medicine
- 2015
The rate reported by Liu et al is extremely low but there are two distinct challenges to a clinically meaningful interpretation of rates of LAST: recognizing limitations of the statistics and understanding how they impact clinical practice.
Anesthesia in children with osteogenesis imperfecta: Retrospective chart review of 83 patients and 205 anesthetics over 7 years
- MedicinePaediatric anaesthesia
- 2018
Osteogenesis imperfecta is the collective term for a heterogeneous group of connective tissue syndromes characterized by bone fragility with multisystem involvement and perioperative implications.
Anesthetic Management of Intramedullary Nailing in Osteogenesis Imperfecta: Report of a Case
- MedicineAnesthesia and analgesia
- 1973
STEOGE NESIS imperfecta (brittle bones 0 or Vrolik‘s disease) is an inherited disease of connective tissue,l with the skeletal system the most conspicuous target of the syndrome. It is a form of…
Tranexamic Acid Is Efficacious at Decreasing the Rate of Blood Loss in Adolescent Scoliosis Surgery: A Randomized Placebo-Controlled Trial
- MedicineThe Journal of bone and joint surgery. American volume
- 2018
Use of TXA in patients undergoing surgery for adolescent idiopathic scoliosis significantly reduced blood loss, by 27%, compared with that in the placebo group.
Safety of antifibrinolytics in cranial vault reconstructive surgery: a report from the pediatric craniofacial collaborative group
- MedicinePaediatric anaesthesia
- 2017
Antifibrinolytic therapy significantly decreases blood loss and transfusion in pediatric cranial vault reconstructive surgery; however, concern regarding the side effects profile limits clinical use.
Haemostatic studies in osteogenesis imperfecta.
- MedicineScandinavian journal of haematology
- 1984
The tourniquet test is the most valuable screening test of the haemostatic defects observed in OI, with the combination of vascular, platelet related and plasmatic defects reflecting that OI is a heterogeneous group of disorders with common clinical expression.