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Controlled hypotension for spinal surgery

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Abstract

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 end-organ ischemia.

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Authors and Affiliations

  1. Division of Trauma Anesthesiology, R. Adams Cowley Shock Trauma Center, University of Maryland Medical System, 22 South Greene St, Baltimore, MD, 21201, USA

    Richard P. Dutton

  2. Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, USA

    Richard P. Dutton

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  1. Richard P. Dutton
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Correspondence to Richard P. Dutton.

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Dutton, R.P. Controlled hypotension for spinal surgery. Eur Spine J 13 (Suppl 1), S66–S71 (2004). https://doi.org/10.1007/s00586-004-0756-7

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  • DOI: https://doi.org/10.1007/s00586-004-0756-7

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