Saudi Journal of Anaesthesia

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


Amer Majeed1, Iftikhar Ahmed2, Ghadah Jamaan Alkahtani3, Nasser Abdullah Altahtam3 
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

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.


How to cite this article:
Majeed A, Ahmed I, Alkahtani GJ, Altahtam NA. Ultrasound-guided continuous spinal anesthesia for cesarean section in a parturient with scoliosis corrected with harrington's rod surgery.Saudi J Anaesth 2017;11:479-482


How to cite this URL:
Majeed A, Ahmed I, Alkahtani GJ, Altahtam NA. Ultrasound-guided continuous spinal anesthesia for cesarean section in a parturient with scoliosis corrected with harrington's rod surgery. Saudi J Anaesth [serial online] 2017 [cited 2021 Dec 8 ];11:479-482
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=4;spage=479;epage=482;aulast=Majeed;type=0