General anesthesia for acute appendicitis operation in a patient with kyphoscoliosis

Öz

While applying anesthesia, kyphosis and/or scoliosis can lead to difficulty in both during endotracheal intubation and also during performing regional interventional technics. In this case, we aimed to report our general anesthesia experience in a 22 year-old women with advanced kyphoscoliosis who underwent acute appendicitis operation. There was no complication during the peroperative period and successful general anesthesia was performed.

Anahtar Kelimeler

• Spinal anesthesia, general anesthesia, kyphosis, scoliosis

Kifoskolyotik bir hastada akut apandisit operasyonu için genel anestezi uygulaması

Öz

Kifoz ve/veya skolyoz, anestezi uygulamaları sırasında endotrakeal entübasyon güçlüğüne ve rejyonel girişim tekniklerinin zorlaşmasına neden olmaktadır. Bu olguda, 22 yaşında ileri derecede kifoskolyozu olan bayan hastada akut pandisit operasyonu nedeniyle uygulanan genel anestezi deneyimimizi sunmayı amaçladık. Peroperatif dönemde hastada herhangi bir komplikasyon gözlenmedi ve başarılı bir genel anestezi uygulaması gerçekleştirildi.

Anahtar Kelimeler

• Spinal anestezi, genel anestezi, kifoz, skolyoz

Kaynakça

1. McMaster MJ, Glasby MA, Singh H, Cunningham S. Lung function in congenital kyphosis and kyphoscoliosis. J Spi- nal Disord Tech 2007;20:203-208.
2. Kleinman W. Spinal, epidural and caudal blocks. In: Clinical Anesthesiology, edit by Morgan GE, Mikhail MS, Murray MJ& Larson CP. Lange Medical Books, Mc Graw-Hill, New York 2002;253-282.
3. Hogan OH, Prost R, Kulier A, Taylor ML, Liu S, Mark L. Magnetic resonance imaging of cerebrospinal fluid volume and the influence of body habitus and abdominal pressure. Anesthesiology 1996; 84:1341-1349.
4. Moran DH, Johnson MD. Continuous spinal anesthesia with combined hyperbaric and isobaric bupivacaine in a patient with scoliosis. Anesth Analg 1982;70:445-447.
5. Bluman LG, Mosca L, Newman N, et al. Preoperative smo- king habits and postoperative pulmonary complications. Chest 1998;113:883-889.
6. Conti G, Rocco M, Antonelli M, et al. Respiratory sys- tem mechanics in the early phase of acute respiratory fa- ilure due to severe khyphoscoliosis. Intensive Care Med, 1997;23:539-544.
7. Tiefenthaler D. Hammerle PE. Lung function after total intra- venous anaesthesia or balanced anaesthesia with sevoflura- ne. Brit J Anaesthesia 2011;106:272-68.
8. Carpenter RL, Hogan QH, Liu SS, et al. Lumbosacral ce- rebrospinal fluid volume is the primary determinant of sensory block extent and duration during spinal anesthesia. Anesthesiology 1998;89:24-29.

9. Grene NM. Distribution of local anesthetic solutions within the subarachnoid space. Anesth Analg 1985;64:715-730.
10. Brain AIJ. The development of the laryngeal mask a brief history of the invention, early clinical studies and experi- mental work from which the laryngeal mask evolved. Eur J Anesthesiol 1991;46:489-491.