Perioperative Anesthetic Management in Pediatric Scoliosis Surgery: A Narrative Review with Focus on Neuromuscular Disorders

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F25%3A10506731" target="_blank" >RIV/00179906:_____/25:10506731 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11150/25:10506731

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=VoqFLpyhqb" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=VoqFLpyhqb</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3390/children12111481" target="_blank" >10.3390/children12111481</a>

Result language

angličtina

Original language name

Perioperative Anesthetic Management in Pediatric Scoliosis Surgery: A Narrative Review with Focus on Neuromuscular Disorders

Original language description

Highlights What are the main findings? Individualized anesthetic planning with total intravenous anesthesia and blood conservation is essential in neuromuscular scoliosis surgery. Implementing Enhanced Recovery After Surgery principles facilitates faster recovery and reduces complications in this high-risk population. What is the implication of the main finding? A multidisciplinary, evidence-based approach improves perioperative outcomes. Standardized protocols enhance safety and recovery in pediatric neuromuscular scoliosis surgery.Highlights What are the main findings? Individualized anesthetic planning with total intravenous anesthesia and blood conservation is essential in neuromuscular scoliosis surgery. Implementing Enhanced Recovery After Surgery principles facilitates faster recovery and reduces complications in this high-risk population. What is the implication of the main finding? A multidisciplinary, evidence-based approach improves perioperative outcomes. Standardized protocols enhance safety and recovery in pediatric neuromuscular scoliosis surgery.Abstract Background/Objectives: Scoliosis surgery in pediatric patients, particularly those with neuromuscular disorders, is associated with increased perioperative risk due to respiratory insufficiency, cardiovascular comorbidities, and nutritional deficiencies. This review aims to summarize current evidence-based approaches to anesthetic management in this vulnerable population. Methods: A comprehensive literature review was conducted focusing on anesthetic strategies and multidisciplinary protocols used in the perioperative care of children with neuromuscular conditions undergoing scoliosis surgery. Emphasis was placed on intraoperative neurophysiological monitoring (IONM), blood conservation techniques, and Enhanced Recovery After Surgery (ERAS) principles. Results: Key management strategies include individualized preoperative risk assessment, use of total intravenous anesthesia (TIVA) to preserve IONM signal integrity, and the implementation of blood conservation methods such as antifibrinolytic therapy and intraoperative cell salvage. Additional perioperative considerations include maintaining normothermia, careful positioning, and multimodal analgesia. Postoperative care should incorporate structured respiratory support and early mobilization within the ERAS pathway to promote recovery and reduce complications. Conclusions: The perioperative care of pediatric patients with neuromuscular scoliosis undergoing spinal surgery requires a multidisciplinary and individualized anesthetic approach. Adherence to evidence-based protocols, including TIVA, blood management strategies, and ERAS principles, is essential for minimizing perioperative complications and improving outcomes in this high-risk group.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30223 - Anaesthesiology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Children-Basel

ISSN

2227-9067

e-ISSN

2227-9067

Volume of the periodical

12

Issue of the periodical within the volume

11

Country of publishing house

CH - SWITZERLAND

Number of pages

24

Pages from-to

1481

UT code for WoS article

001623512700001

EID of the result in the Scopus database

2-s2.0-105023095337