Publications by authors named "M De Kanter"
Background: Hyponatremia is a common complication following endoscopic endonasal resection (EER) of pituitary adenomas. We report a single-center, multisurgeon study detailing baseline clinical data, outcomes, and factors associated with postoperative hyponatremia.
Methods: This was a retrospective cohort study of patients undergoing EER for pituitary adenoma at Tufts Medical Center.
Background: Spinal anesthesia (SA) is used in lumbar surgery, but initial adequate analgesia fails in some patients. In these cases, spinal redosing or conversion to general endotracheal anesthesia is required, both of which are detrimental to the patient experience and surgical workflow.
Methods: We reviewed cases of lumbar surgery performed under SA from 2017-2021.
Article Synopsis
- The erector spinae plane block (ESPB) is an emerging technique for regional pain relief in lumbar surgery, aiming to enhance recovery by minimizing hospital stays and opioid use.
- The study involved neurosurgeons using fluoroscopic guidance to perform the ESPB on 21 patients, showing an average procedure time of just 1.2 minutes and effective anesthetic spread along the targeted area.
- Fluoroscopic guidance proves to be a valuable method for spine surgeons, increasing the efficiency of administering the ESPB and reducing reliance on anesthesiology specialists.
Article Synopsis
- - The study investigates the impact of spinal anesthesia (SA) on reducing the use of multiple medications (polypharmacy) and opioid consumption in elderly patients (≥65 years) undergoing a specific spine surgery called transforaminal lumbar interbody fusion (TLIF) compared to general anesthesia (GA).
- - Results show that patients receiving SA averaged 7.45 medications, significantly fewer than the 12.7 medications for those under GA, and had a much lower average opioid consumption (5.17 MME for SA vs. 20.2 MME for GA).
- - The findings suggest that SA not only minimizes polypharmacy but may also lessen the need for opioid pain management; however, further studies are needed
Article Synopsis
- Greater thecal sac volumes are linked to higher risks of spinal anesthesia (SA) failure, but measuring the cross-sectional area of the thecal sac can help tailor bupivacaine doses to improve outcomes.
- A study with 80 lumbar surgery patients adjusted bupivacaine doses based on thecal sac area measurements, finding that none experienced SA failure, compared to a 5.6% failure rate in a control group who received a standard dose.
- The results suggest that personalized SA dosing based on the thecal sac area effectively minimizes anesthesia failures and no significant adverse outcomes were reported in the personalized dosage group.