Successful administration of spinal anesthesia using Taylor’s approach for in a kyphoscoliotic patient

  • Tapas Kumar Singh Department of Anesthesiology, Sarojini Naidu Medical College, Agra-282002 (India)
  • Yogita Dwivedi Department of Anesthesiology, Sarojini Naidu Medical College, Agra-282002 (India)
  • Trilok Chand Department of Anesthesiology, Sarojini Naidu Medical College, Agra-282002 (India)
  • Chakresh Jain Department of Anesthesiology, Sarojini Naidu Medical College, Agra-282002 (India)

Abstract

Patients with deformed spine due to scoliosis, kyphoscoliosis, or arthritis (e.g. osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis), pose practical challenges to the anesthesiologist in administration of successful subarachnoid block (SAB). Rotation of spine, limited articular mobility, obliteration of the interspinal spaces, and increased difficulty in positioning the patient, all add up to complicate success by conventional midline approach. We report a case of a patient with neurofibromatosis and severe kyphoscoliosis, where midline approach for SAB was not feasible and Taylor’s approach proved a useful alternative to conventional midline technique.

Published
03-01-2021
How to Cite
Singh, T. K., Dwivedi, Y., Chand, T., & Jain, C. (2021). Successful administration of spinal anesthesia using Taylor’s approach for in a kyphoscoliotic patient. Anaesthesia, Pain & Intensive Care, 123. https://doi.org/10.35975/apic.v0i0.739
Section
Correspondence