Ultrasound-Assisted Combined Spinal-Epidural Anesthesia for Cesarean Delivery in a Parturient With Currarino Triad: A Case Report

被引：2
|
作者：
Kenevan, Melissa R. [1 ]
Smith, Hugh M. [1 ]
Olsen, David A. [1 ]
Sharpe, Emily E. [1 ]
机构：
[1] Mayo Clin, Dept Anesthesiol & Perioperat Med, Coll Med, 200 First St SW, Rochester, MN 55905 USA
来源：
A & A PRACTICE | 2019年 / 12卷 / 11期
关键词：
REGIONAL ANESTHESIA; IDENTIFICATION; OXFORD;
D O I：
10.1213/XAA.0000000000000941
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Currarino triad is a rare hereditary condition characterized by anorectal malformation, sacral dysgenesis, and a presacral mass. Neuraxial anesthetic techniques pose increased risks to patients with spinal malformations. Ultrasound imaging improves accuracy of intervertebral level identification compared to clinical estimation. We present the case of a parturient with Currarino triad and a low conus medullaris undergoing cesarean delivery where preprocedural magnetic resonance imaging and ultrasound imaging allowed for successful combined spinal-epidural anesthesia to be performed. Despite these measures, however, the patient did develop a high spinal and temporary postoperative dizziness.
引用
收藏
页码：393 / 395
页数：3
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