Publication: Implications of Subarchnoid Block in Senile Kyphosis
Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Since the literature related to safety or efficacy of placing spinal blocks in patients
with kyphosis is lacking, we aim to discuss about the anaesthesia implications
of spinal anaesthesia in senile kyphosis. We successfully administered spinal
anesthesia in three elderly patients with predominant kyphotic deformity with
absent or mild scoliosis. The needle insertion attempts did not exceed two and
a smaller dose of anesthetic was sufficient. While choosing spinal anaesthesia in
patients with kyphosis, a risk benefit analysis needs to be performed based on the
co-presence of scoliosis and its severity, desired level of anesthesia, and associated
or coexisting systemic illness.
KEY WORDS
Kyphosis, Spinal anaesthesia, Regional anaesthesia
Description
Pokharel K,1 Rijal R,2 Bhattarai B,1 Subedi A,1 Khatiwada S1
1Department of Anaesthesiology and Critical Care
2Department of Orthopaedics
BP Koirala Institute of Health Sciences,
Dharan, Nepal
Keywords
Kyphosis, Spinal anaesthesia, Regional anaesthesia