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Continuous Spinal Anesthesia With Combined Hyperbaric and Isobaric Bupivacaine in a Patient With Scoliosis

Department of Anesthesia, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Abstract

We describe the anesthetic management of labor and cesarean delivery after failed epidural anesthesia using a continuous spinal technique with a combination of hyperbaric and isobaric local anesthetic solutions in a patient with severe kyphoscoliosis and congenital heart disease.

Key Words: ANESTHETIC TECHNIQUES, SPINAL—continuous.

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