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Revista Mexicana de Anestesiología

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2026, Número S1

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Rev Mex Anest 2026; 49 (S1)


Desafíos intraoperatorios en cirugía de columna… Eventos inesperados

Ochoa-Rubí JA, Medina-Pineda M, Estévez-Tomita LH, Mendoza-Méndez V, García-Náje O
Texto completo Cómo citar este artículo

Idioma: Español
Referencias bibliográficas: 30
Paginas: 56-59
Archivo PDF: 785.94 Kb.


PALABRAS CLAVE

Sin palabras Clave

FRAGMENTO

INTRODUCCIÓN

El aumento de procedimientos complejos de cirugía de columna ha incrementado la necesidad de estrategias anestésicas enfocadas en preservar la función neurológica, mantener una perfusión medular adecuada y prevenir complicaciones hemorrágicas y posicionales. Las guías recientes recomiendan un enfoque multidisciplinario con protocolos estandarizados de prevención y respuesta temprana.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Fehlings MG, Alvi MA, et al. A clinical practice guideline for prevention,diagnosis and management of intraoperative spinal cord injury:recommendations for use of intraoperative neuromonitoring and for theuse of preoperative and intraoperative protocols for patients undergoingspine surgery. Global Spine J. 2024;14:212S-222S.

  2. Srikandaraja, Hejrati N, et al. Prevention, diagnosis, and managementof intraoperative spinal cord injury in the setting of spine surgery: aproposed care pathway. Global Spine J. 2024;14:223S-237S.

  3. Fehlings MG, Moghaddamjou A, et al. The 2023 AO Spine-praxisguidelines in acute spinal cord injury: what have we learned? What arethe critical knowledge gaps and barriers to implementation? GlobalSpine J. 2024;14:223S-230S.

  4. Brown NJ, Choi EH, et al. Association of tranexamic acid with decreasedblood loss in patients undergoing laminectomy and fusion with posteriorinstrumentation: a systematic review and meta-analysis. J NeurosurgSpine. 2021;36:686-693.

  5. Barrie U, Youssef CA, et al. Transfusion guidelines in adult spine surgery:a systematic review and critical summary of currently available evidence.Spine J. 2022;22:238-248.

  6. Gee CM, Kwon BK. Significance of spinal cord perfusion pressurefollowing spinal cord injury: A systematic scoping review. J Clin OrthopTrauma. 2022;34:102024.

  7. Wilent WB, Tesdahl EA, et al. Impact of inhalational anesthetic agentson the baseline monitorability of motor evoked potentials during spinesurgery: a review of 22,755 cervical and lumbar procedures. Spine J.2021;21:1839-1846.

  8. Baker A, Widrich J. Somatosensory evoked potentials. In: StatPearls[Internet]. Treasure Island (FL): StatPearls Publishing; 2023.

  9. Taichi F, Mitobe Y, Baba Y, Tachibana N, Miyashita T. Effects ofmotor-evoked potential monitoring during spine surgery on the lengthof hospital stay and postoperative acute pain. Cureus. 2025;17:e92818.

  10. Jian M, Ma B, Liu H, Wang C, Liang F, Zhou Y, et al. Effect ofintraoperative muscle relaxation reversal on the success rate ofmotor-evoked potential recording in patients undergoing spinalsurgery: study protocol for a randomised controlled trial. BMJ Open.2022;12:e056571.

  11. Yang X, Zhang X, et al. Effect of dexmedetomidine on somatosensoryandmotor-evoked potentials in patients receiving craniotomyunder propofol-sevoflurane combined anesthesia. Front Surg.2024;11:1386049.

  12. Shahin MIE. A comparative study of propofol-fentanyl-dexmedetomidineand propofol-fentanyl-sevoflurane anesthesia for major spine surgeryunder somatosensory- and motor-evoked potential monitoring.ClinicalTrials.gov; 2024.

  13. Gao J, Liu G, Wu J, et al. Optimal administration strategies of tranexamicacid to minimize blood loss during spinal surgery: results of a Bayesiannetwork meta-analysis. Ann Med. 2022;54:2053-2063.

  14. Shi B, Xie W, Kai J, Li L, Sun L. The optimal dose of intravenoustranexamic acid for reducing blood loss in spinal surgery: a networkmeta-analysis. BMC Musculoskelet Disord. 2024;25:1093.

  15. Luan H, Liu K, Peng C, Tian Q, Song X. Efficacy and safety oftranexamic acid in posterior lumbar interbody fusion: a meta-analysisof randomized controlled trials. J Orthop Surg Res. 2023;18:14.

  16. American Society of Anesthesiologists Task Force on PerioperativeVisual Loss; North American Neuro-Ophthalmology Society; Societyfor Neuroscience in Anesthesiology and Critical Care. Practice advisoryfor perioperative visual loss associated with spine surgery 2019: anupdated report by the American Society of Anesthesiologists task forceon perioperative visual loss, the North American Neuro-OphthalmologySociety, and the Society for Neuroscience in Anesthesiology and CriticalCare. Anesthesiology. 2019;130:12-30.

  17. Sperber J, Owolo E, et al. Perioperative blindness in spine surgery: ascoping literature review. J Clin Med. 2024;13:1051.

  18. Berry S, Roth S, et al. Risk factors associated with ischemic opticneuropathy after spinal fusion surgery. Anesthesiology. 2012;137:620-643.

  19. Surya A, Salman S, et al. Perioperative ischemic optic neuropathy:a comprehensive review of anesthetic implications, hemodynamicpathophysiology, and risk stratification. Int Ophthalmol. 2026;46:155.

  20. Ninlaphut T, Boonsri N, Koompong N. Incidence and risk factorsof pressure injury in patients undergoing spinal surgery in the proneposition: a retrospective cohort study. J Perianesth Nurs. 2025;40:1567-1571.e1.

  21. Cunha PD, Barbosa TP, et al. The ideal patient positioning in spinesurgery: a preventive strategy. EFORT Open Rev. 2023;8:63-72.

  22. Mega C, Ricci A, et al. A. Tapia’s syndrome as an uncommoncomplication after cervical spine surgery with tracheostomy: a casereport and literature review. Spine Deform. 2020;8:1135-1137.

  23. Silva AH, Bishop M, et al. Tapia syndrome: an unusual complicationfollowing posterior cervical spine surgery. Br J Neurosurg. 2019;33:217-218.

  24. Meng FJ, Jin JY, et al. Incidence and causes of Tapia syndrome afterposterior cervical spine surgery under oral tracheal intubation generalanesthesia. Zhonghua Yi Xue Za Zhi. 2022;102:666-670.

  25. Waits KD, Kelman CR, Cameron BM. Tapia syndrome after cervicallaminoplasty: a case report and review of the literature. World Neurosurg.2020;141:162-165.

  26. Bapteste L, Kamar Z, Mazaud A, Balanca B. Air embolism during lumbarsurgery in the prone position. Diving Hyperb Med. 2021;51:303-305.

  27. Liu Y, Gao Q, Chen A, Xiao J, Shi P. Chest x-ray feature of venous airembolism in orthopedic surgery in prone position: A case report. FrontSurg. 2023;9:994839.

  28. Drosos N, Jacob S, Nazir N, George AS. Anesthesiology considerations andmanagement of venous air embolism in patients in the semisitting position:a single-center review. Cureus. 2025;17:e81093. doi: 10.7759/cureus.81093.

  29. Miyakoshi N, Hongo M, Kasukawa Y, Ishikawa Y, Kudo D, Shimada Y.Intraoperative visible air bubbling recorded as a sign of massive venousair embolism during prone position surgery for extensive ossificationof spinal ligaments: a case report with a video clip. World Neurosurg.2019;131:38-34.

  30. Kolcun JPG, Ditzel RM Jr, Kolb BL, et al. Spinal cord perfusion pressureprotocol for acute spinal cord injury: Pragmatic implementation andearly results at two sites. PLoS One. 2026;21:e0341863.




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