Anesthetic Challenges of a Laboring Patient with Scoliosis

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Conference Proceeding - Restricted Access

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We present a case of a 25-year-old female G1P0 at 36w5d with a history of scoliosis, who presented for a scheduled primary C-section. The indication for C-section was breech twin A and transverse twin B, both with fetal growth restriction. The patient elected to undergo spinal anesthesia for her c-section, however, the spinal needle was difficult to place due to her scoliosis. Three attempts were made using a 25G Whitaker. A fourth attempt was successful with a 25G Quincke. We discuss the unique anesthetic challenges of a laboring patient with scoliosis and spinal and epidural placement techniques.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.