Real-time ultrasound-guided spinal anesthesia for cesarean section in patient with severe kyphoscoliosis and Duchenne's muscular dystrophy: A case report.
10.17085/apm.2018.13.4.405
- Author:
Hyungtae KIM
1
;
Sung In SHIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ingwei2475@naver.com
- Publication Type:Case Report
- Keywords:
Cesarean section;
Muscular dystrophy;
Scoliosis;
Spinal anesthesia;
Ultrasonography
- MeSH:
Adult;
Anesthesia, Conduction;
Anesthesia, General;
Anesthesia, Spinal*;
Cephalopelvic Disproportion;
Cesarean Section*;
Congenital Abnormalities;
Emergencies;
Female;
Humans;
Mortality;
Muscular Dystrophies*;
Pregnancy;
Respiration, Artificial;
Respiratory Insufficiency;
Scoliosis;
Ultrasonography
- From:Anesthesia and Pain Medicine
2018;13(4):405-408
- CountryRepublic of Korea
- Language:English
-
Abstract:
Most elective cesarean sections are conducted under spinal anesthesia. Regional anesthesia has become the preferred technique, because general anesthesia is associated with a greater risk of maternal morbidity and mortality. In patients without absolute contraindication, spinal anesthesia is avoided, when procedural difficulty is increased by severe spinal deformity. A 41-year-old female patient was 33 weeks into pregnancy. Her height and weight were 145 cm and 45 kg. The patient was planned for emergency cesarean section, due to cephalopelvic disproportion. Spinal anesthesia was planned since she was suffering from Duchenne's muscular dystrophy, and had risks of respiratory failure and prolonged mechanical ventilation after general anesthesia. However, the patient also had severe kyphoscoliosis, maybe due to Duchenne's muscular dystrophy. We are reporting a successful spinal anesthesia using real-time ultrasound guidance, for cesarean section in this obstetric patient with severe kyphoscoliosis.
