ArticleCureus2026
Multimodal Anesthetic Strategy to Facilitate Early Extubation in a Patient With Severe Restrictive Lung Disease Undergoing Major Scoliosis Surgery: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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2 authors.
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Abstract
Posterior scoliosis correction is associated with severe postoperative pain and substantial opioid requirements, which may pose a significant risk in patients with limited ventilatory reserve. We report the anesthetic management of a 20-year-old male with extremely severe scoliosis and very severe restrictive lung disease undergoing prolonged multilevel posterior spinal fusion with intraoperative neuromonitoring. A multimodal total intravenous anesthetic technique incorporating ketamine and lidocaine infusions was employed. This approach was associated with the preservation of neuromonitoring signals, successful end-of-case extubation in the operating room to supplemental oxygen via simple face mask, and low postoperative opioid requirements. This case highlights the importance of opioid minimization when managing high-risk patients with compromised pulmonary reserve.
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