Continuous spinal anesthesia for abdominal hysterectomy in a patient with kyphoscoliosis (case report) Kifoskolyotik bir hastada abdominal histerektomi i̇çin sürekli spinal anestezi uygulamasi

Şener E. B., Kocamanoğlu İ. S., Tür A., Anvaroǧlu R.

Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.34, sa.3, ss.188-192, 2006 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 3
  • Basım Tarihi: 2006
  • Dergi Adı: Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.188-192
  • Anahtar Kelimeler: Abdominal hysterectomy, Continuous spinal anesthesia, Kyphoscoliosis
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

In kyphoscoliotic patients, the possibility of respiratory failure due to chronic pulmonary disease is high. Single dose spinal anesthesia in kyphoscoliotic patients may troublesome because of difficult access to subarachnoid space, decreased cerebro spinal fluid (CSF) volume, altered distribution of local anesthetic within the CSF, rapid onset of sympathetic blockade causing hemodynamic compromise and difficulty in predicting the level of block. In this paper, continuous spinal anesthesia (CSA) was presented for abdominal hysterectomy in a 67 years old woman with kyphoscoliosis and chronic bronchitis. Adequate analgesia was ensured during surgery. None of the hemodynamic, respiratory and neurological complications was observed. The patient was discharged at the postoperative 5, days. We think that CSA may be preferred in order to prevent hemodynamic and respiratory complications during abdominal and pelvic surgery of kyphoscoliotic patients as it provides adequate surgical analgesia quality and well-titrated sensorial block level.