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Real-time ultrasound-guided spinal anesthesia for cesarean section in patient with severe kyphoscoliosis and Duchenne’s muscular dystrophy - A case report -
Anesth Pain Med 2018;13(4):405-8
Published online October 31, 2018
© 2018 Korean Society of Neuroscience in Anesthesiology and Critical Care.

Hyungtae Kim1 and Sung In Shin2
Department of Anesthesiology and Pain Medicine, 1Asan Medical Center, University of Ulsan College of Medicine, Seoul, 2Presbyterian Medical Center, Jeonju, Korea
Correspondence to: Hyungtae Kim, M.D.
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
Tel: 82-2-3010-3868
Fax: 82-2-6008-2475
E-mail: ingwei2475@naver.com
ORCID
http://orcid.org/0000-0003-2488-9986
Received March 7, 2018; Revised July 5, 2018; Accepted August 11, 2018.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Most elective cesarean sections are conducted under spinal anesthesia. Regional anesthesia has become the preferred technique, because general anesthesia is associated with a greater risk of maternal morbidity and mortality. In patients without absolute contraindication, spinal anesthesia is avoided, when procedural difficulty is increased by severe spinal deformity. A 41-year-old female patient was 33 weeks into pregnancy. Her height and weight were 145 cm and 45 kg. The patient was planned for emergency cesarean section, due to cephalopelvic disproportion. Spinal anesthesia was planned since she was suffering from Duchenne’s muscular dystrophy, and had risks of respiratory failure and prolonged mechanical ventilation after general anesthesia. However, the patient also had severe kyphoscoliosis, maybe due to Duchenne’s muscular dystrophy. We are reporting a successful spinal anesthesia using real-time ultrasound guidance, for cesarean section in this obstetric patient with severe kyphoscoliosis.
Key Words : Cesarean section; Muscular dystrophy; Scoliosis; Spinal anesthesia; Ultrasonography.


October 2018, 13 (4)
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