USG SAVED THE DAY: PRE-PROCEDURAL USG SPINE FOR SPINAL ANAESTHESIA IN A PARTURIENT WITH THORACO-LUMBAR SCOLIOSIS WITH POST BURN CONTRACTURE NECK

Abstract

Introduction: Incidence of Scoliosis is approximately 2% and higher in females. Therefore, anaesthesiologist should be familiar with its implications for safe anaesthetic management1. Such parturients present unique challenges for administration of regional anaesthesia. Reporting one such case with a successful outcome using pre procedural Ultrasound spine for spinal anaesthesia. A 27 years, 39 weeks Case Report: primigravida of height 132 cm, with cephalo pelvic disproportion in labour with grade III scoliosis and post burn contractures involving neck, was posted for emergency cesarean section. Patient underwent surgery successfully under SAB after accessing spine by ultrasonography for identifying point of insertion, depth of intrathecal space & needle trajectory.2 Ultrasound is Conclusion: boon for accessing spine in patient with difcult spinal anatomy and pregnancy for deciding correct spinal interspace and successful outcome with fewer attempts.