Barash Clinical Anesthesia

Barash Clinical Anesthesia Chapter 53: Anesthesia for Orthopaedic Surgery

Figure 53-1. Deformity of the vertebrae and rib cage in scoliosis. Primary curvature occurs most frequently in the thoracic and lumbar regions. The vertebral bodies are wedge-shaped, and the posterior angles of the ribs are shallow on the side of concavity. On the convex side, the rib angles are more acute. (Reprinted from Horlocker TT, Cucchiara RF, Ebersold MJ: Vertebral column and spinal cord surgery, Clinical Neuroanesthesia. Edited by Cucchiara RF, Michenfelder JD. New York, Churchill Livingstone, 1990, p 325, with permission.)

Figure 53-2. The factors in idiopathic scoliosis that contribute to respiratory function abnormalities and failure. VD, dead space volume; VT, tidal volume; AaDO2, alveolar to arterial oxygen gradient (Reprinted from Kafer ER: Respiratory and cardiovascular functions in scoliosis. Bull Eur Physiopathol Respir 1977; 13: 299, with permission.)

Figure 53-3. Prone position. The head is turned with the dependent ear and eye are protected from pressure. Chest rolls are in place, the arms are brought forward without hyperextension, and the knees are flexed. (Reprinted from Horlocker TT, Cucchiara RF, Ebersold MJ: Vertebral column and spinal cord surgery, Clinical Neuroanesthesia. Edited by Cucchiara RF, Michenfelder JD. New York, Churchill Livingstone, 1990, p 325, with permission.)

Table 53-1

Figure 53-4. The fracture table. The patient must be moved carefully with continuous traction on the fractured limb. The ipsilateral arm is positioned on an arm board or sling without stretching the brachial plexus. (Courtesy of Midmark Corporation, Versailles, OH.)

Table 53-2

Table 53-3

Table 53-4

Table 53-5

Table 53-6

Table 53-7

Barash Clinical Anesthesia