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Indian Journal of Anesthesia and Analgesia 12(2):p 111-113, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.4
Case Report
Anaesthetic Management in Octogenarian with Alzheimer’s, Kyphoscoliosis and Prognathism Posted for Hernioplasty
Ravi Madhusudhana, Bhumika R., Suresh Kumar N., Gagan M.
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(2):p 111-113, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.4
How Cite This Article:
Bhumika R., Suresh Kumar N., Ravi Madhusudhana, Gagan M. Anaesthetic Management in Octogenarian with Alzheimer’s, Kyphoscoliosis and Prognathism Posted for Hernioplasty. Ind J Anesth Analg. 2025; 12(2): 111-113.Timeline
Received : January 31, 2025
Accepted : April 04, 2025
Published : June 30, 2025
Abstract
Introduction: Kyphoscoliosis, a condition characterized by forward and lateral bending of the thoracolumbar spine. The most common cause of kyphoscoliosis is idiopathic, which occurs in 70% of the population. The secondary causes may include neuromuscular, congenital, or traumatic. Patients with thoracolumbar kyphoscoliosis present unique challenges to anaesthesia. Case Report: A 72 year old male, with kyphoscoliosis diagnosed with left sided complete indirect inguinal hernia was posted for hernioplasty. He was a known case of Alzheimer’s disease. On examination vitals were stable. Airway examination showed Mallampati grade 4. An examination of the spine revealed a lateral curvature along with thoracolumbar kyphosis. Blood and routine investigations were within normal limits. The surgery was planned under spinal anaesthesia. On the day of surgery, the patient was shifted to the operation theatre, standard monitoring was ensured perioperatively. Patient was given subarachnoid block through paramedian approach. Intra operative vitals were stable. Standard monitoring was continued in post operative care unit for 30 mins. There was no surgical or anaesthetic complication. Conclusion: When both the airway and spine are involved in the disease process the anaesthetic options are limited and technically difficult. Subarachnoid block with proper preoperative planning can be a useful technique of providing safe and effective anaesthesia in patients with severe thoracolumbar kyphoscoliosis.
References
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Bhumika R., Suresh Kumar N., Ravi Madhusudhana, Gagan M. Anaesthetic Management in Octogenarian with Alzheimer’s, Kyphoscoliosis and Prognathism Posted for Hernioplasty. Ind J Anesth Analg. 2025; 12(2): 111-113.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| January 31, 2025 | April 04, 2025 | June 30, 2025 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.4
Keywords
Anaesthetic managementAlzheimerKyphoscoliosisSpinal anaesthesiaSearch for Similar Articles
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Timeline
| Received | January 31, 2025 |
| Accepted | April 04, 2025 |
| Published | June 30, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
