Abstract

CABARIQUE-SERRANO, Sergio Hernando et al. Epidural anesthesia for posterior spinal fusion and lumbar surgery in a patient with glanzmann's thrombasthenia - Case report and systematic review. Rev. colomb. anestesiol. [online]. 2016, vol.44, n.3, pp.149-254. ISSN 0120-3347.

Introduction: Lumbar spine arthrodesis under regional epidural anesthesia provides adequate hemodynamic stability and timely treatment of acute postoperative pain to patients undergoing the procedure. However, the presence of intimidating comorbidities limits its widespread practice. Objetives: To describe the use of epidural anesthesia for spinal fusion in a patient with Glanzmann's Thrombasthenia and high anesthetic risk of cardiovascular complications. Methodology: Case reports and clinical discussion based on a systematic search of the medical literature. Results: Upon selecting the strategies for a literature search on various databases, some articles were selected from Pubmed, LILACS, and sciencedirect. The articles were screened based on title and abstract and 19 full text articles were analyzed and submitted for discussion of an appointed panel of experts (Anesthesiology Group) for inclusion herein. Conclusion: The use of epidural anesthesia in spinal surgery of a patient with significant hematological and cardiovascular complications was a successful approach and represents one further step forward in the implementation of protocols and robust clinical trials for the management of complex patients like the one herein described.

Keywords : Epidural anesthesia; Anticoagulants; Arthrodesis; Spine; Thrombastenia.

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