Anesthetic Management of a Patient with Occipito-Cervical Fusion for Elective Cesarean Section

Author:

Mallawaarachchi Roshana P.1,Pinto Vasanthi2,De Silva Lal3

Affiliation:

1. Senior Registrar in Anaesthesia, Department of Anaesthesia, Teaching Hospital, Sri Lanka

2. Consultant Anaesthetist, Department of Anaesthesiology & Critical Care, Faculty of Medicine, Teaching Hospital Peradeniya, Sri Lanka

3. Consultant Anaesthetist, Department of Anaesthesia, Teaching Hospital Peradeniya, Sri Lanka

Abstract

A 25-year-old primi, with a history of occipto-cervical fusion (OCF) performed at the age of 13 years, presented for an elective cesarean section. A combined spinal–epidural anesthetic (CSE) was administered, with a successful maternal and fetal outcome. The spinal component of the CSE was unsuccessful at providing surgical anesthesia.

Publisher

Medknow

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