CASE REPORT
Year : 2017  |  Volume : 11  |  Issue : 4  |  Page : 479-482

Ultrasound-guided continuous spinal anesthesia for cesarean section in a parturient with scoliosis corrected with harrington's rod surgery


1 King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
2 King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi Arabia
3 Department of Anesthesiology, King Fahd Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Amer Majeed
King Faisal Specialist Hospital and Research Centre, MBC-22, P. O. Box 3354, Riyadh 11211
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_112_17

Rights and Permissions

With rapid improvement in healthcare in Saudi Arabia, increasing number of women with surgically corrected kyphoscoliosis are likely to present for cesarean section (CS) or vaginal delivery requiring anesthesia or analgesia. Despite the surgical correction, these patients have poor cardiopulmonary reserves which increase the risks associated with general anesthesia. Whereas altered vertebral anatomy from previous surgery and the presence of metal work in spine make performing of regional anesthesia (RA) difficult and unpredictable, we report anesthetic management of such a patient who underwent CS using continuous spinal anesthesia technique. Challenges of placement of a spinal catheter in such a patient are discussed, and use of ultrasonography to circumnavigate these challenges is described. We propose that ultrasound can prove extremely valuable in performing of RA in patients with surgically corrected kyphoscoliosis. We could not find a similar case report from Saudi Arabia in the published literature.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2556    
    Printed37    
    Emailed0    
    PDF Downloaded137    
    Comments [Add]    

Recommend this journal