Anesthesia Pharmacology:  General Anesthesia Clinical Case Questions


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  •  A 45 year-old man suffered a severe back injury in a motor vehicle accident. He had back pain requiring continuous use of analgesics in the ensuing recovery period, and eventually was scheduled for thoracolumbar spine fusion to relieve developing scoliosis.

  •  The neurosurgeon was anxious to prevent neurologic injury and requested that somatosensory evoked potential (SSEP) monitoring the employed to detect potential nerve injury during the operation.


  • case author: Hugh S. Mathewson, M.D., Professor Emeritus, School of Allied Health, Department of Nurse Anesthesia, University of Kansas Medical Center
    case editor: Michael Gordon, Ph.D.