Print ISSN:-2394-4781

Online ISSN:-2394-4994

CODEN : IJCACT

Article History

Received : 09-06-2020

Accepted : 25-07-2020



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Total intravenous anaesthesia to facilitate bulbocavernous reflex in a 2-year-old child with tethered cord syndrome: A case report


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Case Report

Author Details : Kavya Mittimanj, Deepak Rajappa*, Dheeraj Masapu, Shishir Chandrashekar, Satish Rudrappa

Volume : 8, Issue : 1, Year : 2021

Article Page : 122-124

https://doi.org/10.18231/j.ijca.2021.023



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Abstract

Tethered cord syndrome is a neurological disorder caused by tissue attachments that limit the movement of the spinal cord within the spinal canal. Intraoperative neurophysiological monitoring like somatosensory evoked potentials and transcranial motor evoked potentials can preclude surgically induced lesions to the nervous system and has become standard of care for many neurosurgical procedures. Despite the potential advantages of total intravenous anaesthesia, it is not a widely used anaesthetic technique in children.
Recently, a few case reports have been published regarding the presence of metabolic acidosis even with a short term infusion of propofol.We present a case report in which total intravenous anaesthesia was used to facilitate BCR in a 2-year-old child, to monitor the functional integrity of the sacral reflex, which enables bladder and bowel function.

Keywords: Total intravenous anaesthesia, Paediatric anaesthesia, Paediatric total intravenous anaesthesia, Tethered cord syndrome, Bulbocavernous reflex.



How to cite : Mittimanj K , Rajappa D , Masapu D , Chandrashekar S , Rudrappa S , Total intravenous anaesthesia to facilitate bulbocavernous reflex in a 2-year-old child with tethered cord syndrome: A case report. Indian J Clin Anaesth 2021;8(1):122-124


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