Korean J Anesthesiol.  1986 Dec;19(6):611-614.

Anesthetic Management for Cesarean Section in Six Patients with Kyphoacoliosis

• Jin YH
• Seo HM
• Kim DC
• Lee JR

Abstract

The disorders of cardiac and pulmonary function as complications due to scoliosis have been described by numerous investigators since Hippocrates. The abnormalities of respiratory and cardiovascular function in scoliosis include reduced lung volume and compliance of the total respiratory system, arterial hypoxemia, which may be associated with hypercarbia, imparied chemical regulation of ventilation and increased pulmonary vascular resistance. We recently had six severs scoliotic patients who underwent Cesarean section under balanced anesthesia in Chonbuk National University Hospital. The following conclusions were obtained through our experiences in regards to the anesthetic management. 1) Arterial blood gas must be checked serially. 2) Anesthesiologists must know the degree of abnormality of the spine and the cardiopulmonary dysfunction. 3) During anesthesia intermittent positeve pressure breathing(IPPB) or positive end expiratory pressure(PEEP) is nedded ofr good oxygenation. 4) Length and location of endotracheal tube is very important. 5) For treatment of postoperative complication, digitalizations, hronchodilators and mechanical ventilation may be needed.

MeSH Terms

Anesthesia
Anoxia
Balanced Anesthesia
Cesarean Section*
Compliance
Female
Humans
Jeollabuk-do
Lung
Oxygen
Postoperative Complications
Pregnancy
Research Personnel
Respiration, Artificial
Respiratory System
Scoliosis
Spine
Vascular Resistance
Ventilation
Oxygen