Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Patient with Kyphoscoliosis and Bifid Uvula for Hernioplasty Managed Under Low Dose Spinal Anaesthesia at Sub District Hospital
Pravin Sherkhane, Sandeep Darbastwar, Nilkanth Bhosikar and Jaisheela Landage
Page: 354-359 | Received 10 Jul 2024, Published online: 23 Aug 2024
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Abstract
The management of complex surgical cases often presents unique challenges, particularly when multiple anatomical abnormalities are involved. In this case report, we focus on a 52‐year‐old male with a bifid uvula and moderate kyphoscoliosis, who was successfully managed for right hernioplasty under low‐dose spinal anesthesia at a sub‐district hospital. Kyphoscoliosis, characterized by a combination of lateral and forward spinal curvature, often complicates both the surgical and anesthetic approaches due to its impact on respiratory mechanics and the difficulty of achieving adequate spinal anesthesia. The presence of a bifid uvula, while generally a benign condition, adds another layer of complexity as it may be associated with other subtle congenital anomalies that require consideration during perioperative planning. In this particular case, the patient presented with normal cardiovascular and respiratory function, despite his spinal deformity, as evidenced by stable vital signs and clear auscultation findings. However, his kyphoscoliosis posed a significant challenge for the administration of spinal anesthesia. The anesthesiologist employed a paramedian approach at the L2‐L3 level using a 25G needle to navigate the distorted anatomy and successfully administered 2.5cc of hyperbaric bupivacaine, achieving a sensory block at the T6‐T8 level. The procedure was completed without intraoperative complications and the patient had an uneventful recovery, highlighting the importance of tailored anesthetic techniques in such cases. The successful outcome of this case underscores the critical need for meticulous preoperative assessment and individualized anesthetic strategies in patients with kyphoscoliosis undergoing surgery. The case also contributes to the growing body of literature on the management of spinal deformities in surgical settings, offering valuable insights for clinicians facing similar challenges. Ultimately, this case reaffirms the feasibility of using low‐dose spinal anesthesia in patients with complex anatomical variations, provided that careful attention is paid to the technical aspects of the procedure and the unique physiological considerations of the patient.
How to cite this article:
Pravin Sherkhane, Sandeep Darbastwar, Nilkanth Bhosikar and Jaisheela Landage. Patient with Kyphoscoliosis and Bifid Uvula for Hernioplasty Managed Under Low Dose Spinal Anaesthesia at Sub District Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.354.359
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.354.359