Korean J Anesthesiol.  1981 Mar;14(1):112-115.

Two Cases of Cesarean Section in Kyphoscoliosis

• Lee JB
• Kim SH
• Cho KK
• Kim WJ
• Cho CH

Abstract

The disorders of cardiac and pulmonary function as complications of 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 hypercapnia, impaired chemical regulation of ventilation and increased pulmonary vascular resistance. We recently had experienced of two cases of severe scoliosis of Cesarean section (onse was a severe kyphoscoliotic patient) in Eul Zi Hospital, and was anesthetized with halothane or ethrane. The following conclusions were observed: 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 positive pressure breatheing(IPPB) or positive end expiratory pressure(PEEP) is needed for good oxygenation. 4) Intubation tube length and tube location are very important. 5) For treatment of postoperative complications, digitalization, bronchodilators, and mechanical ventilation may be needed.

MeSH Terms

Anesthesia
Anoxia
Bronchodilator Agents
Cesarean Section*
Compliance
Enflurane
Female
Halothane
Humans
Hypercapnia
Intubation
Lung
Oxygen
Postoperative Complications
Pregnancy
Research Personnel
Respiration, Artificial
Respiratory System
Scoliosis
Spine
Vascular Resistance
Ventilation
Bronchodilator Agents
Enflurane
Halothane
Oxygen