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Where Spinal Anesthesia is Not the Final Word- Cesarean Section under General Anesthesia in a Primi Gravida with Severe Scoliosis and Type 4 Placenta Previa: A Case Report

Year: 2024

Type: article

Abstract: Both neuraxial and general anesthesia present unique challenges to the anesthesiologist when managing a pregnant patient with scoliosis. The type and duration of scoliosis and the Cobb's angle are key determinants of the degree of respiratory compromise. Pregnant women with scoliosis are anticipated to have deformities in the vertebra, which can render subarachnoid or epidural anesthesia technically challenging. The pulmonary complications following scoliosis add to the physiological changes in pregnancy and can make mechanical ventilation fraught with challenges. We hereby present the anesthetic concerns involved in the management of a parturient with severe scoliosis, gestational hypertension, gestational thrombocytopenia, and placenta previa posted for cesarean section.

Source: Obstetrics and Gynaecology Cases - Reviews

DOI: 10.23937/2377-9004/1410262

Authors: Gunasekaran Adethen, Chatterjee Protiti, Govindaraj Kirthiha, Calaidrajane Jeevasri

Institutions: Jawaharlal Institute of Post Graduate Medical Education and Research, All India Institute of Medical Sciences, Madurai

Language: English

Topic: Anesthesia and Pain Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4404119867

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