26 Oct 2026Paediatric AnaesthesiaPaediatric
In a five-year Great Ormond Street series, children rated high-risk by the preoperative multidisciplinary traffic-light system had far more major complications, longer operations and longer stays than low-risk children, supporting structured MDT triage before scoliosis surgery.
PubMed → PaywallSource checked
19 Oct 2026Journal of Neurosurgical AnesthesiologyAdult
Short opinion piece (no abstract) from a neuroanaesthesia group arguing that anaesthetic practice should aim for a stable, reliable environment for motor evoked potential monitoring, not merely recordable signals.
PubMed → PaywallSource checked
15 Oct 2026Journal of Neurosurgical AnesthesiologyAdult
Review of perioperative anaphylaxis in neurosurgical and spine cases, covering culprit agents relevant to spine theatres (such as topical haemostatics, chlorhexidine and tranexamic acid) and why draping and cord perfusion make recognition and rescue harder.
PubMed → PaywallSource checked
7 Oct 2026Paediatric AnaesthesiaPaediatric
In a small Mayo Clinic dose-finding study in adolescents having posterior spinal fusion, giving more intrathecal hydromorphone did not improve pain control, while the upper end of the range was linked to respiratory adverse events, favouring conservative dosing.
PubMed → PaywallSource checked
7 Oct 2026Anesthesia & AnalgesiaAdult
In a Chinese RCT of 178 patients having posterior lumbar interbody fusion, deep neuromuscular block reduced chronic postsurgical pain at three months (not six), with less early muscle-injury biomarker release and better-preserved paraspinal muscle on MRI. Context for the theatre team: deep neuromuscular block cannot be used when motor evoked potentials or free-running EMG are monitored, so the finding applies only to operations without that monitoring. The Delphi neuroanaesthesia guidance for monitored deformity and complex spinal surgery is listed under Guidelines on this page.
PubMed →Source checked
6 Oct 2026Regional Anesthesia & Pain MedicineAdult
Correspondence questioning whether the procedure-specific benefit of IV lidocaine reported in the RAPM meta-analysis depends on how spine procedures were classified.
PubMed → PaywallSource checked
23 Sep 2026Anesthesia & AnalgesiaAdult
In a large propensity-matched TriNetX cohort, intraoperative ketamine was not associated with less long-term opioid prescribing after lumbar spine surgery, in opioid-naive patients or those with opioid-use disorder.
PubMed → PaywallSource checked
16 Sep 2026AnesthesiologyPaediatric
A French multicentre RCT of 244 adolescents found that guiding intraoperative remifentanil by the Analgesia Nociception Index lowered intraoperative opioid use but did not reduce day-one morphine needs or persistent pain at six months.
PubMed → PaywallSource checked
7 Sep 2026Journal of Neurosurgical AnesthesiologyAdult
Across ten studies of prone spine surgery, pulse pressure variation predicted fluid responsiveness only moderately well, so it should be used alongside other dynamic measures rather than on its own.
PubMed → PaywallSource checked
7 Sep 2026Journal of Neurosurgical AnesthesiologyAdult
US national data show occipitocervical fusion carries higher rates of reintubation and tracheostomy than other posterior cervical fusions, and the window of airway risk extends into the second and third postoperative weeks.
PubMed → PaywallSource checked
3 Sep 2026Regional Anesthesia & Pain MedicineAdult
Pooling ten RCTs, perioperative IV lidocaine modestly reduced pain and opioid use after spine surgery, with an exploratory signal that the benefit is meaningful after instrumented fusion or complex surgery but minimal after simple decompression; no effect on PONV or length of stay.
PubMed → PaywallSource checked
3 Sep 2026Journal of Neurosurgical AnesthesiologyAdult
In 25 Japanese patients having long spine or spinal cord operations, F-waves stayed recordable and stable over three hours of remimazolam anaesthesia, suggesting the agent is compatible with this neuromonitoring modality.
PubMed → PaywallSource checked
28 Aug 2026Journal of Clinical AnesthesiaAdult
Twenty-one RCTs suggest perioperative IV magnesium slightly lowers pain and opioid use and PONV after spine surgery, at the cost of more hypotension and slower emergence.
PubMed → PaywallSource checked
Spinal FrontiersPowered by NSpine