Anesthetic management in parturients with kyphoscoliosis

  • Dr Jay Prakash Thakur Department of anesthesiology Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal
  • Tara Gurung Department of anesthesiology, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal.
  • Sangeeta Shrestha Department of anesthesiology, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal.
  • Ujjwal Basnet Department of anesthesiology, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal.
  • AP Pradhan Department of anesthesiology, Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal.

Abstract

Pregnancy in kyphoscoliotic woman is uncommon, with a reported incidence of 0.072%. It produces significant challenges for both anesthesiologist and obstetrician. Dealing with dual life, there is risk for both mother and fetus due to alterations in maternal physiology and change in spine anatomy. There are many case reports available with successful management both using spinal or general anesthesia. Here we present four case reports of successful management of such cases using general anesthesia or spinal anesthesia with palpatory and ultrasound guided method during a period of 6 months in Paropakar Maternity and Women’s Hospital.


Keywords: Cesarean Section, kyphoscoliosis, spinal anesthesia.

Published
Apr 13, 2020
How to Cite
THAKUR, Dr Jay Prakash et al. Anesthetic management in parturients with kyphoscoliosis. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 14, n. 2, p. 71-75, apr. 2020. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/1079>. Date accessed: 12 aug. 2020.
Section
Case series