Case Report of Successful Spinal Anaesthesia in a Patient with Kyphoscoliosis for Hernioplasty

Dr. Sunil Gandhi, Dr. Bharati, Dr. Sumanta Boro

Abstract: Subarachnoid block in patients with kyphoscoliosis always present a unique challenge to the anaesthesiologist owing to the deformity of spine. Spinal deformities are likely to be associated with physiologic derangements in cardiac and pulmonary function and may cause difficulties with both tracheal intubation and regional anaesthesia. Due to problems associated with respiratory system, spinal anaesthesia is used widely, though technically difficult. We present a case of thoracolumbar kyphoscoliosis with rt. sided indirect inguinal hernia posted for hernioplasty successfully managed with spinal anaesthesia with modified paramedian approach.

Keywords: kyphoscoliosis, inguinal hernia, modified paramedian approach, subarachnoid block