SPINAL ANAESTHESIA USING TAYLOR’S APPROACH SAVES THE DAY IN OBESE PARTURIENT.

Author:

Vashist Vishal1,Mahajan Roohani2,Gupta Bhanu3

Affiliation:

1. MD Anaesthesiology, Civil Hospital , Chowari , Chamba, Himachal Pradesh

2. MD Anaesthesiology, Civil Hospital,Nurpur,Kangra, Himachal Pradesh.

3. MD Anaesthesiology, Senior Resident Department of Anesthesiology, Dr. RPGMC Kangra at Tanda.

Abstract

Subarachnoid block is commonly employed for caesarean deliveries, by virtue of its simplicity in terms of performance, safety for the parturients as compared to general anesthesia. The case history of a 27-yearold female parturiant patient is presented. She was posted for emergency lower segment caesarean section in view of primigravida with breech presentation in labour . She was obese with bodyweight of 102 kg. She had a thick scaly plaque over the back in midline from L1 to L5 area, which is contraindication for administration of spinal anaesthesia via standard median and paramedian approach . Taylor’s approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anaesthesia .

Publisher

World Wide Journals

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