Department of Anaesthesiology and Reanimation, Faculty of Medicine Universitas Airlangga/ Dr. Soetomo Teaching Hospital, Surabaya, Indonesia · Faculty of Medicine of Sfax
Background: Scoliosis presents distinctive concerns during pregnancy because it might affect maternal respiratory function and obstetric outcomes. We report a case of a pregnant patient with severe scoliosis receiving anaesthesia for a caesarean section.
Case: A 30-year-old woman pregnant at 34/35 weeks with severe dextroscoliosis thoracalis. The preoperative examination showed a Cobb angle of 70 degrees. The patient has signs of threat of respiratory failure. During the recovery period the patient was difficult to wean from the ventilator Discussion: Before surgery, arterial blood gas analysis, and echocardiography were conducted to evaluate lung and cardiac function. Anaesthesia was administered by general anesthesia method. During the surgery, continuous pulse oximetry, capnography, and invasive arterial pressure monitoring were used to guarantee the safety of both the mother and the foetus. The patient had a successful response to the anaesthetic, maintaining stable hemodynamic during
surgery and achieving effective pain management. The baby in good health was born through a caesarean section without any issues.
Conclusion: Thorough preoperative evaluation, precise intraoperative supervision, and a
customised anaesthetic strategy to guarantee safe and efficient treatment for pregnant patients with scoliosis having a caesarean section.
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