Combined spinal-epidural in the obstetric patient with Harrington rods assisted by ultrasonography.
We describe a patient with severe scoliosis, which had been corrected partially with Harrington rods, who requested epidural analgesia for labour. With no palpable landmarks, the use of ultrasound enabled identification of the vertebral midline and allowed provision of regional anaesthesia.
Yeo
S T
ST
Department of Anaesthesia, King Edward Memorial Hospital, Subiaco, Australia.
French
R
R
D000328:Adult; D000767:Anesthesia, Epidural / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D001858:Bone Nails; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging*; D012600:Scoliosis / Q000000981:diagnostic imaging* / Q000601:surgery; D014463:Ultrasonography