Öz

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

Anahtar Kelimeler

• Scoliosis,Kyphosis; Spinal anesthesia

İLERİ DERECEDE SKOLYOZLU HASTADA SPİNAL ANESTEZİ (OLGU SUNUMU)

Öz

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

Anahtar Kelimeler

• Skolyoz,Kifoz; Spinal anestezi

Kaynakça

1. McMaster MJ, Glasby MA, Singh H, Cunningham S. Lung function in congenital kyphosis and kyphoscoliosis. Spinal Disord Tech. 2007; 20 (3): 203-8.
2. 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.
3. Skolyozda Spinal Anestezi