Epidural anesthesia for posterior spinal fusion and lumbar surgery in a patient with glanzmann's thrombasthenia - Case report and systematic review
Keywords:
Epidural anesthesia, Anticoagulants, Arthrodesis, Spine, Thrombastenia
Abstract
Introduction: Lumbar spine arthrodesis under regional epidural anesthesia provides adequate hemodynamic stability and timely treatment of acute postoperative pain to patients undergoing the procedure. However, the presence of intimidating comorbidities limits its widespread practice.
Objetives: To describe the use of epidural anesthesia for spinal fusion in a patient with Glanzmann's Thrombasthenia and high anesthetic risk of cardiovascular complications.
Methodology: Case reports and clinical discussion based on a systematic search of the medical literature.
Results: Upon selecting the strategies for a literature search on various databases, some articles were selected from Pubmed, LILACS, and sciencedirect. The articles were screened based on title and abstract and 19 full text articles were analyzed and submitted for discussion of an appointed panel of experts (Anesthesiology Group) for inclusion herein.
Conclusion: The use of epidural anesthesia in spinal surgery of a patient with significant hematological and cardiovascular complications was a successful approach and represents one further step forward in the implementation of protocols and robust clinical trials for the management of complex patients like the one herein described.
References
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2. Schroeder KM, Zahed C, Andrei AC, Han S, Ford MP, Zdeblick TA. Epidural anesthesia as a novel anesthetic technique for anterior lumbar interbody fusion. J Clin Anesth. 2011;23:521-6.
3. Nagashima K, Sato S, Hyakumachi T, Yanagibashi Y, Masuda T. A prospective evaluation of anesthesia for posterior lumbar spine fusion: the effectiveness of preoperative epidural anesthesia with morphine. Spine (Phila Pa 1976). 2005;30:863-9.
4. De Rojas JO, Syre P, Welch WC. Regional anesthesia versus general anesthesia for surgery on the lumbar spine: a review of the modern literature. Clin Neurol Neurosurg. 2014;119:39-43.
5. Kahveci K, Doger C, Ornek D, Gokcinar D, Aydemir S, Ozay R. Perioperative outcome and cost-effectiveness of spinal versus general anesthesia for lumbar spine surgery. Neurol Neurochir Pol. 2014;48:167-73.
6. Chowdhury T, Narayanasamy S, Dube SK, Rath GP. Acute hemodynamic disturbances during lumbar spine surgery. J Neurosurg Anesthesiol. 2012;24:80-1.
7. Guay J, Choi P, Suresh S, Albert N, Kopp S, Pace NL. Neuraxial blockade for the prevention of postoperative mortality and major morbidity: an overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2014;1:Cd010108.
8. Parvizi J, Viscusi ER, Frank HG, Sharkey PF, Hozack WJ, Rothman RR. Can epidural anesthesia and warfarin be coadministered? Clin Orthop Relat Res. 2007;456:133-7.
9. Green L, Machin SJ. Managing anticoagulated patients during neuraxial anaesthesia. Br J Haematol. 2010;149:195-208.
10. Horlocker TT. Regional anaesthesia in the patient receiving antithrombotic and antiplatelet therapy. Br J Anaesth. 2011;107 Suppl. 1:i96-106.
11. Horlocker T, Benzon H, Brown D, Enneking K, Heit J, Mulroy MF, et al. Anestesia Regional en el paciente anticoagulado: Definición de Riesgos. Rev Colomb Anestesiol. 2005:59-64.
12. Gogarten W, Vandermeulen E, Van Aken H, Kozek S, Llau JV, Samama CM. Regional anaesthesia and antithrombotic agents: recommendations of the European Society of Anaesthesiology. Eur J Anaesthesiol. 2010;27:999-1015.
13. Benzon HT, Avram MJ, Green D, Bonow RO. New oral anticoagulants and regional anaesthesia. Br J Anaesth. 2013;111 Suppl. 1:i96-113.
14. Galindo Gualdróna LA. Dosis de prueba para anestesia regional. Rev Colomb Anestesiol. 2014;24:47-52.
15. Lison S, Spannagl M, Heindl B. Perioperative haemostatic management of Glanzmann thrombasthenia for abdominal surgery. Blood Coagul Fibrinolysis. 2009;20:371-3.
16. Varkey I, Rai K, Hegde AM, Vijaya MS, Oommen VI. Clinical management of Glanzmann's thrombasthenia: a case report. J Dent (Tehran). 2014;11:242-7.
17. Nurden AT. Glanzmann thrombasthenia. Orphanet J Rare Dis. 2006;1:10.
18. Sulaiman OM, Pabón GA, Cortés CC, Munoz LA, Reyes LE, Arevalo JJ. Un resumen de la investigación en tromboelastografía. Rev Colomb Anestesiol. 2014;42:302-8.
19. Gempeler FE, Perea AH, Díaz L. Tromboelastografía: evaluación global de la coagulación. Aplicaciones en el periodo perioperatorio. Rev Colomb Anestesiol. 2011;39:410-23.
20. Uzunlar HI, Eroglu A, Senel AC, Bostan H, Erciyes N. A patient with Glanzmann's thrombasthenia for emergent abdominal surgery. Anesth Analg. 2004;99:1258-60.
21. Biological License Application Supplement Noteworthy Approvals U.S: FDA; 2014 [updated 01.20.15; cited 25.02.15] . Available from: http://www.fda.gov/biologicsbloodvaccines/developmentapprovalprocess/biologicalapprovalsbyyear/ucm385849.htm.
22. Popescu WM, Gusberg RJ, Barash PG. Epidural catheters and drug-eluting stents: a challenging relationship. J Cardiothorac Vasc Anesth. 2007;21:701-3.
2. Schroeder KM, Zahed C, Andrei AC, Han S, Ford MP, Zdeblick TA. Epidural anesthesia as a novel anesthetic technique for anterior lumbar interbody fusion. J Clin Anesth. 2011;23:521-6.
3. Nagashima K, Sato S, Hyakumachi T, Yanagibashi Y, Masuda T. A prospective evaluation of anesthesia for posterior lumbar spine fusion: the effectiveness of preoperative epidural anesthesia with morphine. Spine (Phila Pa 1976). 2005;30:863-9.
4. De Rojas JO, Syre P, Welch WC. Regional anesthesia versus general anesthesia for surgery on the lumbar spine: a review of the modern literature. Clin Neurol Neurosurg. 2014;119:39-43.
5. Kahveci K, Doger C, Ornek D, Gokcinar D, Aydemir S, Ozay R. Perioperative outcome and cost-effectiveness of spinal versus general anesthesia for lumbar spine surgery. Neurol Neurochir Pol. 2014;48:167-73.
6. Chowdhury T, Narayanasamy S, Dube SK, Rath GP. Acute hemodynamic disturbances during lumbar spine surgery. J Neurosurg Anesthesiol. 2012;24:80-1.
7. Guay J, Choi P, Suresh S, Albert N, Kopp S, Pace NL. Neuraxial blockade for the prevention of postoperative mortality and major morbidity: an overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2014;1:Cd010108.
8. Parvizi J, Viscusi ER, Frank HG, Sharkey PF, Hozack WJ, Rothman RR. Can epidural anesthesia and warfarin be coadministered? Clin Orthop Relat Res. 2007;456:133-7.
9. Green L, Machin SJ. Managing anticoagulated patients during neuraxial anaesthesia. Br J Haematol. 2010;149:195-208.
10. Horlocker TT. Regional anaesthesia in the patient receiving antithrombotic and antiplatelet therapy. Br J Anaesth. 2011;107 Suppl. 1:i96-106.
11. Horlocker T, Benzon H, Brown D, Enneking K, Heit J, Mulroy MF, et al. Anestesia Regional en el paciente anticoagulado: Definición de Riesgos. Rev Colomb Anestesiol. 2005:59-64.
12. Gogarten W, Vandermeulen E, Van Aken H, Kozek S, Llau JV, Samama CM. Regional anaesthesia and antithrombotic agents: recommendations of the European Society of Anaesthesiology. Eur J Anaesthesiol. 2010;27:999-1015.
13. Benzon HT, Avram MJ, Green D, Bonow RO. New oral anticoagulants and regional anaesthesia. Br J Anaesth. 2013;111 Suppl. 1:i96-113.
14. Galindo Gualdróna LA. Dosis de prueba para anestesia regional. Rev Colomb Anestesiol. 2014;24:47-52.
15. Lison S, Spannagl M, Heindl B. Perioperative haemostatic management of Glanzmann thrombasthenia for abdominal surgery. Blood Coagul Fibrinolysis. 2009;20:371-3.
16. Varkey I, Rai K, Hegde AM, Vijaya MS, Oommen VI. Clinical management of Glanzmann's thrombasthenia: a case report. J Dent (Tehran). 2014;11:242-7.
17. Nurden AT. Glanzmann thrombasthenia. Orphanet J Rare Dis. 2006;1:10.
18. Sulaiman OM, Pabón GA, Cortés CC, Munoz LA, Reyes LE, Arevalo JJ. Un resumen de la investigación en tromboelastografía. Rev Colomb Anestesiol. 2014;42:302-8.
19. Gempeler FE, Perea AH, Díaz L. Tromboelastografía: evaluación global de la coagulación. Aplicaciones en el periodo perioperatorio. Rev Colomb Anestesiol. 2011;39:410-23.
20. Uzunlar HI, Eroglu A, Senel AC, Bostan H, Erciyes N. A patient with Glanzmann's thrombasthenia for emergent abdominal surgery. Anesth Analg. 2004;99:1258-60.
21. Biological License Application Supplement Noteworthy Approvals U.S: FDA; 2014 [updated 01.20.15; cited 25.02.15] . Available from: http://www.fda.gov/biologicsbloodvaccines/developmentapprovalprocess/biologicalapprovalsbyyear/ucm385849.htm.
22. Popescu WM, Gusberg RJ, Barash PG. Epidural catheters and drug-eluting stents: a challenging relationship. J Cardiothorac Vasc Anesth. 2007;21:701-3.
How to Cite
1.
Cabarique-Serrano SH, González-Cárdenas VH, Dussán-Crosby JP, Páez-González RE, Ramírez MA. Epidural anesthesia for posterior spinal fusion and lumbar surgery in a patient with glanzmann’s thrombasthenia - Case report and systematic review. Colomb. J. Anesthesiol. [Internet]. 2016 Jul. 1 [cited 2024 Apr. 19];44(3):249-54. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/381
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Published
2016-07-01
How to Cite
1.
Cabarique-Serrano SH, González-Cárdenas VH, Dussán-Crosby JP, Páez-González RE, Ramírez MA. Epidural anesthesia for posterior spinal fusion and lumbar surgery in a patient with glanzmann’s thrombasthenia - Case report and systematic review. Colomb. J. Anesthesiol. [Internet]. 2016 Jul. 1 [cited 2024 Apr. 19];44(3):249-54. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/381
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Case Report / Case Series
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