Author/Authors :
Özkan, Fatih Ondokuzmayıs Üniversitesi - Tıp Fakültesi - Anesteziyoloji Anabilim Dalı, Turkey , Yıldırım, Salih Sivas Numune Hastanesi - Anesteziyoloji Kliniği, Turkey , Apaydın, Yılmaz Sivas Numune Hastanesi - Anesteziyoloji Kliniği, Turkey , Özkan, Fikret Sivas Numune Hastanesi - Anesteziyoloji Kliniği, Turkey
Abstract :
Kyphoscoliosis is a progressive disease that increases by age. While applying anesthesia, kyphosis and/or scoliosis can lead to difficulty in both during endotracheal intubation and also during performing regional interventional technics. In addition to aging and the direct effects of deformity such as neurological deficities and immobility; deterioration in cardiopulmonary functions can also develop in these patients. In this case, we aimed to report our spinal anesthesia experience in a 72 year-old man with advanced kyphoscoliosis who underwent right inguinal hernia operation. Spinal anesthesia was performed through L4-L5 space by single dose of 15 mg hyperbaric bupivacain. Sufficient sensorial and motor block was provided and sensorial block was increased to maximum at T6 dermatome level. There was no complication during the peroperative period and succesful spinal anesthesia was performed. Finally we conclude that spinal anesthesia is a good alternative to general anesthesia in reducing or preventing hemodynamic and respiratory complications for an elderly patient with kyphoscoliosis.
