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Year 2015, Volume: 5 Issue: 1, 77 - 80, 27.02.2015

Abstract

Vertebral deformities may cause difficulties with both spinal anesthesia and general anesthesia management. At the begining of anesthesia as may be encountered technical difficulties in maintain anesthesia may cause complications. In this case anesthesia management of the patient with severe thoracolumbar kyphoscoliosis of anesthesia is presented. The patients was 21 years old and will be operated for umbilical hernia. the patient had pain in the lower back and legs. Physical examination and chest x-ray thoracolumbar kyphoscoliosis was present. Pulmonary function test values were normal. L 3-4 space with a 25 G needle intrathecal attempt was made to. Applications in the third attempt was successful. 12.5 mg hyperbaric heavy marcaine and 20 mcg fentanyl was performed to subarachnoid space. Sensorial and motor block was provided and sensorial block was increased T6 level in the supine position. There was no complication during the operation. As a result of spinal anesthesia in scoliosis may be a good alternative

References

  • McMaster MJ, Glasby MA, Singh H, Cunningham S. Lung function in congenital kyphosis and kyphoscoliosis. Spinal Disord Tech. 2007; 20 (3): 203-8.
  • Farber NE, Pagel SP, Warltier DC. Pulmonary pharmacology of inhaled anaesthetics. In Miller RD (ed) Anesthesia. 5th ed. Philadelphia,. Churchill Livingstone. 2000. p.125-46. KARACA ve ark.
  • Skolyozda Spinal Anestezi

İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU)

Year 2015, Volume: 5 Issue: 1, 77 - 80, 27.02.2015

Abstract

ÖZET

Vertebra bozuklukları hem spinal anestezi hem de genel anestezi uygulamalarını zorlaş- tırabilmektedir. Anestezi uygulamalarının başlangıcında teknik olarak güçlükle karşılaşı- labileceği gibi anestezinin devamında da komplikasyonlara neden olabilir. Bu olgu sunu- munda ileri derecede torakolomber bölgede skolyozu olan hastaya uygulanan anestezi yöntemi sunulmuştur. 21 yaşında umblikal herni nedeniyle opere olacak hastanın belin- de ve bacağında ağrı şikayeti vardı. Fizik muayenesinde ve akciğer grafisinde torokolom- ber bölgede skolyozu mevcuttu. L 3-4 aralığından 25 G Quinke iğne ile intratekal girişim yapıldı. Uygulama üçüncü girişimde başarılı oldu. 12,5 mg hiperbarik heavy marcain ve
20 mcg fentanil subaraknoid alana uygulandı. Supin pozisyon verilen hastada T6 seviye- sinde duyusal blok elde edildi. Hastada operasyon süresince herhangi bir komplikasyon gelişmedi. Sonuç olarak skolyozda spinal anestezi iyi bir seçenek olabilir.

Anahtar kelimeler: Skolyoz; Kifoz; Spinal anestezi

ABSTRACT

Vertebral deformities may cause difficulties with both spinal anesthesia and general anesthesia management. At the begining of anesthesia as may be encountered technical difficulties in maintain anesthesia may cause complications. In this case anesthesia management of the patient with severe thoracolumbar kyphoscoliosis of anesthesia is presented. The patients was 21 years old and will be operated for umbilical hernia. the patient had pain in the lower back and legs.  Physical examination and chest x-ray thoracolumbar kyphoscoliosis was present. Pulmonary function test values were normal. L 3-4 space with a 25 G needle intrathecal attempt was made to. Applications in the third attempt was successful. 12.5 mg hyperbaric heavy marcaine and 20 mcg fentanyl was performed to subarachnoid space. Sensorial and motor block was provided and sensorial block was increased T6 level in the supine position. There was no complication during the operation. As a result of spinal anesthesia in scoliosis may be a good alternative.

Keywords: Scoliosis; Kyphosis; Spinal anesthesia

References

  • McMaster MJ, Glasby MA, Singh H, Cunningham S. Lung function in congenital kyphosis and kyphoscoliosis. Spinal Disord Tech. 2007; 20 (3): 203-8.
  • Farber NE, Pagel SP, Warltier DC. Pulmonary pharmacology of inhaled anaesthetics. In Miller RD (ed) Anesthesia. 5th ed. Philadelphia,. Churchill Livingstone. 2000. p.125-46. KARACA ve ark.
  • Skolyozda Spinal Anestezi
There are 3 citations in total.

Details

Journal Section Case Report
Authors

Mehtap Okyay Karaca This is me

Refiye Selin Aybar This is me

Zafer İsmail Karaca This is me

Publication Date February 27, 2015
Published in Issue Year 2015 Volume: 5 Issue: 1

Cite

APA Karaca, M. O., Aybar, R. S., & Karaca, Z. İ. (2015). İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU). Bozok Tıp Dergisi, 5(1), 77-80.
AMA Karaca MO, Aybar RS, Karaca Zİ. İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU). Bozok Tıp Dergisi. February 2015;5(1):77-80.
Chicago Karaca, Mehtap Okyay, Refiye Selin Aybar, and Zafer İsmail Karaca. “İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU)”. Bozok Tıp Dergisi 5, no. 1 (February 2015): 77-80.
EndNote Karaca MO, Aybar RS, Karaca Zİ (February 1, 2015) İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU). Bozok Tıp Dergisi 5 1 77–80.
IEEE M. O. Karaca, R. S. Aybar, and Z. İ. Karaca, “İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU)”, Bozok Tıp Dergisi, vol. 5, no. 1, pp. 77–80, 2015.
ISNAD Karaca, Mehtap Okyay et al. “İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU)”. Bozok Tıp Dergisi 5/1 (February 2015), 77-80.
JAMA Karaca MO, Aybar RS, Karaca Zİ. İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU). Bozok Tıp Dergisi. 2015;5:77–80.
MLA Karaca, Mehtap Okyay et al. “İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU)”. Bozok Tıp Dergisi, vol. 5, no. 1, 2015, pp. 77-80.
Vancouver Karaca MO, Aybar RS, Karaca Zİ. İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU). Bozok Tıp Dergisi. 2015;5(1):77-80.
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