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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11150/25:10506731

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30223 - Anaesthesiology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

Children-Basel

ISSN

2227-9067

e-ISSN

2227-9067

Svazek periodika

12

Číslo periodika v rámci svazku

11

Stát vydavatele periodika

CH - Švýcarská konfederace

Počet stran výsledku

24

Strana od-do

1481

Kód UT WoS článku

001623512700001

EID výsledku v databázi Scopus

2-s2.0-105023095337