Circulatory collapse during scoliosis surgery on Jackson table: a case report

• 발행기관: 조선대학교 의학연구원
• 저자명: Hoon Jung Soeun Jeon Jin Song Yeo Hyun-Su Ri
• 간행물 정보: 『Medical Biological Science and Engineering』제7권 제1호, 59~63쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2024.01.31

국문 초록

A 12-year-old female was brought to the operating room for T10-L4 correction and posterior fusion. She had adolescent idiopathic scoliosis, was extremely underweight (body mass index: 16.5 kg/m2), and had a short chest anteroposterior diameter (15 cm) but no chest wall deformity or cardiopulmonary comorbidities. After she was manually turned to the prone position on the Jackson table, a rapid circulatory collapse occurred. Despite fluid resuscitation and vasopressor therapy, no improvement was observed in the patient’s hemodynamic parameters. However, her hemodynamics were immediately stabilized after the cessation of surgery and repositioning to the supine position on the stretcher trolley. To continue the procedure, the Jackson table was replaced with a universal operating table with two additional rolls (which support the patient’s chest to the anterior superior iliac spine level vertically), and the surgery was successfully per-formed without any additional hemodynamic instability.

목차

INTRODUCTION

MATERIALS AND METHODS

RESULTS

DISCUSSION

키워드

Scoliosis Prone position Hypotension