Spinal anesthesia in a patient with severe thoracolumbar kyphoscoliosis
dc.contributor.buuauthor | Özyurt, Gürayten | |
dc.contributor.buuauthor | Başağan-Moğol, Elif | |
dc.contributor.buuauthor | Bilgin, Hülya | |
dc.contributor.buuauthor | Tokat, Oğuz | |
dc.contributor.department | Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı. | tr_TR |
dc.contributor.orcid | 0000-0001-6639-5533 | tr_TR |
dc.contributor.researcherid | A-7338-2016 | tr_TR |
dc.contributor.scopusid | 6603035486 | tr_TR |
dc.contributor.scopusid | 23982134100 | tr_TR |
dc.contributor.scopusid | 6701663354 | tr_TR |
dc.contributor.scopusid | 6603597913 | tr_TR |
dc.date.accessioned | 2022-01-06T09:15:09Z | |
dc.date.available | 2022-01-06T09:15:09Z | |
dc.date.issued | 2005-11 | |
dc.description.abstract | Patients with spine abnormalities, present unique challenges to the health care provider responsible for administrating sedation and anesthesia during surgical and technical procedures. Spinal deformities may cause difficulties with both tracheal intubation and regional anesthesia. This report describes the anesthetic management for two urological operations that were performed in a patient with extremely severe thoracolumbar kyphoscoliosis. After examining the risk factors, spinal block by injecting single dose local anesthetic solution to the intratechal space was chosen to provide anesthesia. It has been suggested that hyperbaric solution, which is of high density compared with cerebrospinal fluid, can safely produce blocks for many operations under spinal anesthesia. In the first procedure, intrathecal injection of 6 mg hyperbaric bupivacaine, a local anesthetic solution (1.2 ml total volume), resulted in inadequate motor and sensory blockade, but the successful motor and sensory blockade at the level of Th10 was achieved in a second attempt with 6.25 mg hypobaric bupivacaine (2 ml). Because of this unexpected effect of local anesthetic solution, in the second operation, the technique was changed to intrathecal injection of 12.5 mg hypobaric bupivacaine (4 ml), and the motor and sensory blockade at Th10 was achieved again. The patient reported satisfactory anesthesia each time, and developed no complications. In conclusion, spinal anesthesia can be successful even in cases of severe thoracolumbar kyphoscoliosis. | en_US |
dc.identifier.citation | Özyurt, G. vd. (2005). "Spinal anesthesia in a patient with severe thoracolumbar kyphoscoliosis". Tohoku Journal of Experimental Medicine, 207(3), 239-242. | en_US |
dc.identifier.endpage | 242 | tr_TR |
dc.identifier.issn | 0040-8727 | |
dc.identifier.issn | 1349-3329 | |
dc.identifier.issue | 3 | tr_TR |
dc.identifier.pubmed | 16210836 | tr_TR |
dc.identifier.scopus | 2-s2.0-27744576496 | tr_TR |
dc.identifier.startpage | 239 | tr_TR |
dc.identifier.uri | https://doi.org/10.1620/tjem.207.239 | |
dc.identifier.uri | https://www.jstage.jst.go.jp/article/tjem/207/3/207_3_239/_article | |
dc.identifier.uri | http://hdl.handle.net/11452/23896 | |
dc.identifier.volume | 207 | tr_TR |
dc.identifier.wos | 000232286600009 | tr_TR |
dc.indexed.pubmed | Pubmed | en_US |
dc.indexed.scopus | Scopus | en_US |
dc.indexed.wos | SCIE | en_US |
dc.language.iso | en | en_US |
dc.publisher | Tohoku University Medical Press | en_US |
dc.relation.journal | Tohoku Journal of Experimental Medicine | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | tr_TR |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | General & internal medicine | en_US |
dc.subject | Research & experimental medicine | en_US |
dc.subject | Spinal anesthesia | en_US |
dc.subject | Thoracolumbar kyphoscoliosis | en_US |
dc.subject.emtree | Bupivacaine | en_US |
dc.subject.emtree | Fentanyl | en_US |
dc.subject.emtree | Marcaine 0.5 | en_US |
dc.subject.emtree | Adult | en_US |
dc.subject.emtree | Analgesia | en_US |
dc.subject.emtree | Anesthesiological techniques | en_US |
dc.subject.emtree | Article | en_US |
dc.subject.emtree | Bladder stone | en_US |
dc.subject.emtree | Case report | en_US |
dc.subject.emtree | Disease severity | en_US |
dc.subject.emtree | Human | en_US |
dc.subject.emtree | Hyperbarism | en_US |
dc.subject.emtree | Kyphoscoliosis | en_US |
dc.subject.emtree | Lithotripsy | en_US |
dc.subject.emtree | Male | en_US |
dc.subject.emtree | Motor nerve | en_US |
dc.subject.emtree | Nerve block | en_US |
dc.subject.emtree | Risk factor | en_US |
dc.subject.emtree | Sensory nerve | en_US |
dc.subject.emtree | Spinal anesthesia | en_US |
dc.subject.emtree | Spine malformation | en_US |
dc.subject.emtree | Thoracic spine | en_US |
dc.subject.emtree | Thoracolumbar spine | en_US |
dc.subject.mesh | Adjuvants, anesthesia | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Anesthesia, spinal | en_US |
dc.subject.mesh | Anesthetics, local | en_US |
dc.subject.mesh | Bupivacaine | en_US |
dc.subject.mesh | Fentanyl | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Kyphosis | en_US |
dc.subject.mesh | Lithotripsy | en_US |
dc.subject.mesh | Lumbar vertebrae | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Scoliosis | en_US |
dc.subject.mesh | Severity of illness index | en_US |
dc.subject.mesh | Thoracic vertebrae | en_US |
dc.subject.mesh | Urinary bladder calculi | en_US |
dc.subject.scopus | Spinal Cord Stimulation; Spinal Anesthesia; Complex Regional Pain Syndromes | en_US |
dc.subject.wos | Medicine, general & internal | en_US |
dc.subject.wos | Medicine, research & experimental | en_US |
dc.title | Spinal anesthesia in a patient with severe thoracolumbar kyphoscoliosis | en_US |
dc.type | Article | |
dc.wos.quartile | Q3 (Medicine, general & internal) | en_US |
dc.wos.quartile | Q4 | en_US |