alexa Clinical implications of neuraxial anesthesia in the parturient with scoliosis.


Journal of Anesthesia & Clinical Research

Author(s): Ko JY, Leffert LR

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Abstract Scoliosis can pose challenges to the initiation and function of neuraxial anesthetics. We reviewed the available literature exploring neuraxial techniques in parturients with uncorrected or corrected (i.e., surgically instrumented) scoliosis. The 22 articles reported 117 attempted neuraxial procedures (uncorrected n = 24 and corrected n = 93). Of these procedures, 79\% of uncorrected patients and 69\% of corrected patients were successfully managed with neuraxial anesthesia. Procedures were typically more challenging in corrected patients; 90\% of all reported difficulties in this subgroup involved epidural anesthetics. Complications were reported in 3 of 103 patients. We provide suggestions for optimizing efficacy of neuraxial techniques in these patients. This article was published in Anesth Analg and referenced in Journal of Anesthesia & Clinical Research

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