Patil Amarjeet Dnyandeo, Bapat Manasi, Patil Sunita A, Gogna Roshan Lal
Department of Anaesthesiology, MGM Medical College and Hospital, Kamothe, Navi Mumbai, Maharashtra, India.
Saudi J Anaesth. 2015 Oct-Dec;9(4):474-6. doi: 10.4103/1658-354X.159481.
The case history of a 35-year-old female patient with short stature is presented. She was posted for rectopexy in view of rectal prolapse. She was a known case of bronchial asthma. She had crowding of intervertebral spaces, which made administration of spinal anesthesia via the normal route very difficult. Taylor's approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anesthesia in the presence of bronchial asthma, for a perineal surgery. The possible cause for the difficulty in administration of spinal anesthesia and the Taylor's approach are discussed, and reports of similar cases reviewed.
本文介绍了一名35岁身材矮小女性患者的病历。鉴于直肠脱垂,她计划接受直肠固定术。她是一名已知的支气管哮喘患者。她存在椎间隙狭窄的情况,这使得通过常规途径实施脊髓麻醉非常困难。尝试了泰勒入路来实施脊髓麻醉并证明是成功的,从而使该患者在患有支气管哮喘的情况下避免了接受全身麻醉来进行会阴手术。文中讨论了脊髓麻醉给药困难的可能原因以及泰勒入路,并回顾了类似病例的报告。