Continuous caudal epidural anaesthesia for vaginal hysterectomy in a patient of heart disease and severe spinal deformity; a case report

Abstract

We present this case report where we have used fluoroscopic localization of caudal space and caudal epidural catheter placement to conduct caudal epidural anaesthesia in a case of vaginal hysterectomy and colporrhaphy with co-morbidity of severe spinal deformity, valvular heart disease and pulmonary hypertension.

Comment on "Spinal anaesthesia in poliomyelitis patients with scoliotic spine: A case control study"

“…At times it is impossible to insert spinal needle from midline and we have to resort to paramedian, Taylor's approach or fluoroscopic guide for conduct of anaesthesia [ Figure 1 ]. [ 3 ] However, authors did not mention the amount of difficulty during spinal punctures at all.…”