International journal of obstetric anesthesia
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Int J Obstet Anesth
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Int J Obstet Anesth · May 2019
Case ReportsAnaesthetic management for caesarean section of a parturient with a known difficult airway and closed spinal dysraphism.
Many anaesthetists consider patients with existing neurological deficits, untreated spinal pathology or those having undergone major spinal intervention to be precluded from undergoing neuraxial anaesthesia. While this is partly rooted in fears of litigation there is also a lack of consensus of the best practice in the anaesthetic management of these patients. ⋯ She successfully underwent delivery under neuraxial blockade for the delivery of her fourth child. We believe that by undergoing a thorough multidisciplinary clinical evaluation, including the extensive use of neuroimaging and ultrasound, it may be possible to plan and perform safe neuraxial anaesthesia.