Management of cesarean section in a patient with paraplegia and difficult airway with full stomach

Gandotra, Sakshi

doi:10.25141/2575-9736-2017-1.0011

Cited by 1 publication

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“…Though TB is uncommon in the UK, it is highly prevalent worldwide and despite its prevalence, the literature on the safety of neuraxial anaesthesia in patients with a history of treated spinal TB is sparse. As far as we are aware, there are reports on the management of five obstetric patients with a history of spinal TB and kyphoscoliosis available in the literature [1][2][3][4][5]. Four of these come from the anaesthetic literature [1][2][3], and one from the obstetric literature with some mention of anaesthesia management [4].…”

Section: Discussionmentioning

confidence: 99%

“…As far as we are aware, there are reports on the management of five obstetric patients with a history of spinal TB and kyphoscoliosis available in the literature [1][2][3][4][5]. Four of these come from the anaesthetic literature [1][2][3], and one from the obstetric literature with some mention of anaesthesia management [4]. In all but one of the reported cases, the patient arrived at the care of the anaesthetist in an emergency setting.…”

Section: Discussionmentioning

confidence: 99%

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The use of separate‐level neuraxial anaesthesia for caesarean delivery in a patient with a history of spinal tuberculosis

Kearsley

Elliott

Smith

et al. 2020

Anaesthesia Reports

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We present the case of a 33-year-old parturient who required caesarean delivery at 31 weeks' gestation. She had a history of degenerative disease of the lumbar spine secondary to tuberculosis, acquired as a child in India. Her complex medical history also included ischaemic heart disease and obstructive sleep apnoea, and due to this general anaesthesia was considered to be of high risk. However, regional anaesthesia also posed significant challenges because magnetic resonance imaging of the spine showed a partial collapse with subsequent fusion of second and third lumbar vertebral bodies with thoracolumbar kyphosis. Neuraxial anaesthesia was performed with ultrasound guidance for determining levels and depth of epidural space. An epidural was inserted at the T12-L1 interspace and a spinal anaesthetic block was placed at L4-L5. Delivery and recovery were uneventful. This case highlights the safe and effective use of neuraxial anaesthesia in an asymptomatic patient with treated spinal tuberculosis as well as the usefulness of high-quality imaging of the spine in the decision to perform neuraxial anaesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The use of separate‐level neuraxial anaesthesia for caesarean delivery in a patient with a history of spinal tuberculosis

Kearsley

Elliott

Smith

et al. 2020

Anaesthesia Reports

View full text Add to dashboard Cite

show abstract

Management of cesarean section in a patient with paraplegia and difficult airway with full stomach

Abstract: Citation: : Gandotra S, et al. (2017) Management of cesarean section in a patient with paraplegia and difficult airway with full stomach -a case report

Cited by 1 publication

References 0 publications

The use of separate‐level neuraxial anaesthesia for caesarean delivery in a patient with a history of spinal tuberculosis

The use of separate‐level neuraxial anaesthesia for caesarean delivery in a patient with a history of spinal tuberculosis

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