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REGIONAL ANESTHESIA AND PAIN MEDICINE

Thoracic Epidural Anesthesia for Bilateral Reduction Mammoplasty in a Patient with Klippel-Feil Syndrome

Department of Anaesthesiology and Pain Medicine, *Division of Plastic Surgery, WCM Health Sciences Centre, 8440-112 St., University of Alberta, Edmonton, Alberta T6G2B7, Canada

Address correspondence and reprint requests to Paul J. O’Connor, FFARCSI, 3B2.32 WCM Centre, 8440-112 St., University of Alberta, Edmonton, Alberta TG62B7, Canada.

Implications: General anesthesia is best avoided in cases of Klippel-Feil syndrome where tracheal intubation is potentially difficult. The syndrome features severe abnormalities of the neck and upper thoracic spine, which may also lead to difficulties with neuraxial blockade. We describe the use of epidural anesthesia for bilateral reduction mammoplasty in a patient with this condition.

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