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Anesth Analg 2005;100:1634-1636
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000149896.52608.08

PEDIATRIC ANESTHESIA

Improvement of Motor-Evoked Potentials by Ketamine and Spatial Facilitation During Spinal Surgery in a Young Child

Thomas O. Erb, MD, MHS*, Sven E. Ryhult, CRNA*, Ewald Duitmann, CRNA*, Carol Hasler, MD*, Juerg Luetschg, MD{dagger}, and Franz J. Frei, MD*

*Department of Pediatric Orthopedic Surgery, {dagger}Department of Pediatric Neurology and Neurophysiology. University Children’s Hospital Beider Basel, Basel, Switzerland

Address correspondence and reprint requests to Franz J. Frei, MD, Associate Professor, Department of Pediatric Anesthesiology, University Children’s Hospital Beider Basel, UKBB, Roemergasse 8, CH-4058 Basel, Switzerland. Address e-mail to Franz-J.Frei{at}unibas.ch.

Monitoring motor evoked potentials is desirable during spine surgery but may be difficult to obtain in small children. In addition, the recording of reliable signals is often hampered by the presence of various anesthetics. We report the case of a young child whose motor evoked potentials were successfully monitored using a ketamine-based anesthesia and a newly introduced stimulation technique consisting of combined spatial and temporal facilitation.




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J. A. Lieberman, R. Lyon, J. Feiner, M. Diab, and G. A. Gregory
The effect of age on motor evoked potentials in children under propofol/isoflurane anesthesia.
Anesth. Analg., August 1, 2006; 103(2): 316 - 21, table of contents.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.