Anesthetic Management for Adult Spine Deformity Surgery

Adult deformity surgery involves complex surgery in patients with underlying chronic medical conditions. Anesthetic challenges include large intraoperative blood loss and resuscitation, maintaining adequate anesthesia in the setting of neuro-monitoring, long surgical times, and postoperative pain control. The anesthesia provider should have a good knowledge of the surgical technique and its potential physiological impact, the documented benefits of certain anesthetic techniques, and the intraoperative neuro-monitoring requirements for spine surgery. It is also imperative to understand the anesthetic effects on the central nervous system to facilitate a safe surgery and good outcome.

Keywords: anesthesia, adult spine surgery, preoperative assessment, neuromonitoring, transfusion, postoperative pain