Anesthetic Challenges of a Laboring Patient with Scoliosis
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.
Jahshan A, Markatos S, Soto RG. Anesthetic cahllenges of a laboring patient with scoliosis. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/5393