Neuroanesthesia & neurocritical care
Utility of desflurane as an anesthetic in motor-evoked potentials in spine surgery and the facilitating effect in tetanic stimulation of bilateral median nerves
Authors' conclusion
However, bilateral median nerve tetanic stimulation can effectively augment MEPs safely under general anesthesia with high-concentration desflurane in patients who undergo spinal surgery.
Study context
- Population
- Patients scheduled for lumbar surgery under GA with end-tidal 4% desflurane and remifentanil, 2018–2020
- Participants
- 46 patients
- Exposure
- Post-tetanic motor-evoked potential (MEP) vs conventional MEP under 4% desflurane
- Outcome
- Reliability of MEP monitoring (recording success rate) and MEP amplitude augmentation by tetanic stimulation
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Average MEP recording success rate
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| MEP amplitudep-MEPm vs c-MEP · significantly higher in all muscles | P < 0.05 |
MEP amplitude
- p-MEPt amplitudes not significantly different from conventional MEP (c-MEP)
MEP success rates for gastrocnemius and quadriceps
- Inadequate
Original publication
Utility of desflurane as an anesthetic in motor-evoked potentials in spine surgery and the facilitating effect in tetanic stimulation of bilateral median nerves. J Clin Monit Comput. Published 2 November 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →