A Case of a Dwarf Patient with Kyphoscoliosis with Severe Restrictive Airway Disease for Bilateral Tibia Nailing under Ultrasound-guided Spinal Anesthesia
Thoracolumbar kyphoscoliosis provides a very challenging situation for anesthesiologists because of the changed anatomy and related cardiopulmonary changes in the patient. The spread of drugs and the action of neuraxial anesthesia are erratic in these patients. If short stature is added with a history of failed spinal anesthesia in a different setup, planning anesthesia becomes even more difficult. At such times ultrasonography comes as a boon for visualizing the spine and assists in deciding the site for puncture for spinal anesthesia for a successful intrathecal tap and placement of drug.
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