ANAESTHETIC MANAGEMENT IN SHORT STATURED PRIMI WITH KYPHOSCOLIOSIS WITH PULMONARY STENOSIS WITH DOUBLE OUTLET RIGHT VENTRICLE.

Dr. SHAKUNTALA GOSWAMI; Dr. BHAARAT MAHESHWARI; Dr VRUSHALI MOHARIL; Dr. AKANKSHA RATANPAL

Volume : VII, Issue : III, March - 2018

ANAESTHETIC MANAGEMENT IN SHORT STATURED PRIMI WITH KYPHOSCOLIOSIS WITH PULMONARY STENOSIS WITH DOUBLE OUTLET RIGHT VENTRICLE.

Dr. Shakuntala Goswami, Dr. Bhaarat Maheshwari, Dr Vrushali Moharil, Dr. Akanksha Ratanpal

Abstract :

Kyphoscoliosis is spinal deformity with lateral and posterior curvatures. Anaesthetic management in such patients is challenging due to difficult spine, restrictive lung disease, hypoxia, hypoventilation, mixing of oxygenated and deoxygenated blood in DORV, risk of heart failure in pulmonary stenosis.

SUMMARY:

A patient with kyphoscoliosis with restrictive lung disease and associated cardiac disease is a challenging task for an anaesthesiologist. This report highlights the anaesthetic challenge, multidisciplinary approach of management and importance of early planning of anaesthetic technique for successful intraoperative management.