Abstract

ANAESTHETIC MANAGEMENT OF A PATIENT WITH SEVERE KYPHOSCOLIOSIS POSTED FOR TRANSURETHRAL RESECTION OF PROSTATE (TURP)

Dr. Kirti Kamal, Dr. Hemant Kamal, Dr. Sumedha Vashishth*, Dr. Geeta Ahlawat, Dr. Rajmala Jaiswal and Dr. Parul Jain

Abstract

Spinal anaesthesia is the technique of choice in Transurethral Resection of Prostate (TURP) but in patients with severe kyphoscoliosis spinal anaesthesia may be difficult and can result in incomplete or inadequate block. We bring forth the case of 72 years old male patient with severe kyphoscoliosis posted for TURP under saddle block. Although saddle block is not a popular technique for TURP but it sets up quickly, paralyses pelvic muscles and sacral nerve roots and height of block is less. So there is less chance of hypotension and vasopressor requirement. We present this case of highlight the importance of saddle block in patient with severe spinal deformity.

Keywords: Transurethral Resection of Prostate (TURP), kyphoscoliosis, Saddle block, Spinal anaesthesia.