Philippine Journal of Anesthesiology 2008;20(1):19-21

My humps: anesthetic management od a pregnant patient with severe kyphoscoliosis

Chan Samantha Chris M. ; Coloma-Sumayo Carolyn

Country

Philippines

Language

English

Abstract

A case of a 40 year old, term multigravid parturient with active pulmonary tuberculosis and with severe congenital kyphoscoliosis on the thoraocolumbar area. patient came in due to decreased fetal movement and was found to have severe oligohydramnios by biophysical scoring. She underwent emergency cesarean section with bilateral tubal ligation under general anesthesia. Patient delivered a live, healthy, term male baby. Bilateral tubal ligation was then performed. How she was positioned, induced and maintained for the procedure would be the topic of this paper. Technical issues of supine positionig, intubation and respiratory support need to be considered during anesthetic planing. Although regional anesthesia is commonly administered for cesarean section, maternalcompromise and technical factors may preclude this approach.