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7/27/2015 9:29:00 AM | Browse: 936 | Download: 1213
Publication Name World Journal of Anesthesiology
Manuscript ID 16495
Country/Territory Canada
Received
2015-01-20 09:05
Peer-Review Started
2015-01-21 09:38
To Make the First Decision
2015-02-07 14:59
Return for Revision
2015-02-12 15:47
Revised
2015-02-23 21:42
Second Decision
2015-04-20 11:35
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief
2015-04-29 15:27
Articles in Press
2015-04-29 15:27
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2015-07-21 11:50
Publish the Manuscript Online
2015-07-27 09:30
ISSN 2218-6182 (online)
Open Access This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright © The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Anesthesiology
Manuscript Type Case Report
Article Title Bradycardia and hypotension during pediatric scoliosis surgery-hypovolemia or spinal shock?
Manuscript Source Invited Manuscript
All Author List Cengiz Karsli, Samuel Strantzas, Olivia Finnerty, Laura Holmes and Stephen Lewis
Funding Agency and Grant Number
Corresponding Author Dr. Cengiz Karsli, Department of Anesthe¬siology and Pain Medicine, the Hospital for Sick Children, 555 University Avenue, Toronto M5G 1X8, Canada. cengiz.karsli@sickkids.ca
Key Words Spinal shock; Scoliosis; Hemorrhagic shock; Vertebral; Sympathectomy
Core Tip A child undergoing scoliosis repair developed sudden bradycardia and hypotension, associated with loss of somatosensory and motor evoked potentials to all four limbs. Spinal shock and hypovolemia were diagnosed after ruling out other causes. Acute comp?lications of scoliosis repair are reviewed along with sympathetic nervous system anatomy. Spinal shock was likely due to hypovolemia and spinal cord manipulation during vertebral column resection that was needed to effect scoliosis correction. Treatment included volume expansion and inotropic support. Anesthesiologists should be mindful of the possibility of spinal shock during correction of severe scoliosis, particularly when vertebral column resection is undertaken.
Publish Date 2015-07-27 09:30
Citation Karsli C, Strantzas S, Finnerty O, Holmes L, Lewis S. Bradycardia and hypotension during pediatric scoliosis surgery-hypovolemia or spinal shock? World J Anesthesiol 2015; 4(2): 44-48
URL http://www.wjgnet.com/2218-6182/full/v4/i2/44.htm
DOI http://dx.doi.org/10.5313/wja.v4.i2.44
Full Article (PDF) WJA-4-44.pdf
Full Article (Word) WJA-4-44.doc
Manuscript File 16495-Review.docx
Answering Reviewers 16495-Answering reviewers.pdf
Audio Core Tip 16495-Audio core tip.wav
Conflict-of-Interest Disclosure Form 16495-Conflict-of-interest statement.pdf
Copyright License Agreement 16495-Copyright assignment.pdf
Institutional Review Board Approval Form or Document 16495-Institutional review board statement.pdf
Peer-review Report 16495-Peer-review(s).pdf
Scientific Misconduct Check 16495-Scientific misconduct check.pdf
Scientific Editor Work List 16495-Scientific editor work list.pdf