Controlled hypotension for spinal surgery

  • Richard P. Dutton


Controlled, deliberate hypotension during anesthesia for major spinal surgery reduces intraoperative blood loss and transfusion requirement. Hypotension may be achieved with increased doses of volatile anesthetic agents or by continuous infusion of vasodilating drugs. Safe application of this technique requires knowledge of the physiology of hemorrhagic shock and close intraoperative monitoring to avoid vasoconstriction and endorgan ischemia.


Spinal surgery Deliberate hypotension Posterior ischemic optic neuropathy Review 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2005

Authors and Affiliations

  • Richard P. Dutton
    • 1
    • 2
  1. 1.Division of Trauma Anesthesiology, R. Adams Cowley Shock Trauma CenterUniversity of Maryland Medical SystemBaltimoreUSA
  2. 2.Department of AnesthesiologyUniversity of Maryland School of MedicineBaltimoreUSA

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