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العنوان
STRATEGIES OF SPINAL CORD PROTECTION DURING AORTIC SURGERIES/
المؤلف
Shabayek,Mohamed Ibrahim Mohamed Rashad .
هيئة الاعداد
باحث / محمد ابراهيم محمد رشاد شبايك
مشرف / فهمي سعد لطيف إسكندر
مشرف / أيمن أحمد السيد عبد اللطيف
مشرف / منى أحمد محمد عبد المطلب عمار
تاريخ النشر
2017.
عدد الصفحات
133.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/8/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - Anaesthesia
الفهرس
Only 14 pages are availabe for public view

from 130

from 130

Abstract

Background :
Spinal cord ischaemia (SCI) is a devastating complication of abdominal aortic aneurysm (AAA) surgery with an incidence of 0.2-0.3% for endovascular aneurysm repair (EVAR) and open repair. Potential mechanisms include critical interruption of the spinal cord blood supply, thromboembolus, and perioperative hypotension .
Aim of work :
The aim of this work is to review and understand the pathophysiology of spinal cord injury during thoracic and thoraco abdominal aortic surgeries , risk factors and perioperative anesthetic management to protect the spinal cord .
Conclusion :
Spinal rescue strategies include systemic hypothermia, endovascular aortic repair, permissive systemic hypertension, cerebrospinal fluid drainage, pharmacologic neuroprotection,and intensive neuromonitoring. Despite an extensive body of literature and various proposals, a completely effective strategy to prevent or treat neurological injury remains elusive .