Anesthesia management during meningomyelocele repair alongside motor-evoked potentials in a newborn and a small infant

Abstract

Intraoperative neuromonitoring has become an increasingly commonly applied practice during surgical operations for preventing formation of neurological damage. Although it has been used on adults for a long time, the benefits and techniques of applying it in small children are not clear. We applied two different anesthesia protocols during meningomyelocele repair alongside motor-evoked potentials in a newborn and a small infant. We discussed our anesthesia management method and the effects of anesthesia on intraoperative neuromonitoring in our two very young cases in only one of which we obtained significant records.

Keywords: Intraoperative monitoring; Meningomyelocele; Motor-evoked potentials; Pediatrics.