Key result
Continuous spinal anesthesia with hyperbaric and isobaric bupivacaine successfully managed labor and cesarean delivery in a patient with severe kyphoscoliosis and congenital heart disease.
Continuous spinal anesthesia with combined hyperbaric and isobaric bupivacaine may be a viable option for cesarean delivery in patients with severe kyphoscoliosis and congenital heart disease after failed epidural anesthesia.
Supports consideration of continuous spinal anesthesia after failed epidural in kyphoscoliosis with congenital heart disease; leaves open broader adoption pending prospective data.
We describe the anesthetic management of labor and cesarean delivery after failed epidural anesthesia using a continuous spinal technique with a combination of hyperbaric and isobaric local anesthetic solutions in a patient with severe kyphoscoliosis and congenital heart disease.
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Moran et al. (1990) studied this question. Continuous spinal anesthesia with hyperbaric and isobaric bupivacaine successfully managed labor and cesarean delivery in a patient with severe kyphoscoliosis and congenital heart disease.
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