Ultrasound Guided Combined Spinal Epidural Anaesthesia in Scoliosis - A Case Report on Anaesthetic Precision

Dr. Monica Lourdhu Manoharan, Dr. Thrinadh Reddy, Dr. Nirmala B C

Abstract: This case report discusses the use of ultrasound guided combined spinal epidural anesthesia in a 32yearold female patient with scoliosis, scheduled for hysteroscopic myomectomy. Due to the patient's distorted spinal anatomy, traditional neuraxial anesthesia posed significant challenges. The application of preprocedural ultrasound enabled precise localization of the spinal structures, reducing the risk of complications and improving anesthetic outcomes. This report highlights the effectiveness of ultrasound guidance in managing anesthesia for patients with complex medical histories and anatomical variations, demonstrating its potential to enhance the safety and efficacy of spinal and epidural anesthesia.

Keywords: combined spinal-epidural anesthesia, preprocedural spine ultrasonography, scoliosis, myomectomy