Publication Name	World Journal of Anesthesiology
Manuscript ID	16495
Country	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 Executive 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/
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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