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Anaesthesia for Caesarean section in a patient with Klippel‐Feil syndrome
Author(s) -
Dresner M. R.,
Maclean A. R.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb06146.x
Subject(s) - medicine , bupivacaine , anesthesia , kyphoscoliosis , caesarean section , fentanyl , general anaesthesia , respiratory system , surgery , scoliosis , pregnancy , biology , genetics
Summary A 34‐year‐old woman with severe kyphoscoliosis, an immobile cervical spine, and short stature due to the Klippel‐Feil syndrome presented for elective Caesarean section. She expressed a strong desire to remain awake during the procedure. We chose a technique using a spinal microcatheter to provide spinal anaesthesia on the basis that incremental control of the dose of bupivacaine would reduce the risk of‘high’ block. Awake inspection of the larynx was performed as a precaution in the event of respiratory embarrassment. A total of 6.25 mg heavy bupivacaine, 7.5 mg plain bupivacaine, and 10 μg fentanyl were administered over 20 min. This provided anaesthesia up to T 5 without significant effects on respiratory or cardiovascular function. The patient was successfully delivered of a healthy boy.