Subarachnoid Block in Prone Position for lower limb surgery

Authors

  • Bidur Kumar Baral National Academy of Medical Sciences NAMS, Bir Hospital, Kathmandu, Nepal
  • Puspa Raj Poudel National Academy of Medical Sciences NAMS, Bir Hospital, Kathmandu, Nepal
  • Shubhash Regmi National Academy of Medical Sciences NAMS, Bir Hospital, Kathmandu, Nepal
  • Anuj Jung Karki National Academy of Medical Sciences NAMS, Bir Hospital, Kathmandu, Nepal
  • Pradip Koirala National Academy of Medical Sciences NAMS, Bir Hospital, Kathmandu, Nepal
  • Aashish Shah Nepalese Army Institute of Health Science, Shree Birendra Hospital, Kathmandu, Nepal

DOI:

https://doi.org/10.33314/jnhrc.v18i4.2666

Abstract

Subarachnoid block is a safe and effective regional anesthesia technique. It is usually carried out in sitting or lateral position but it can also be performed in prone position. Here we report two cases of flame burn over bilateral gluteal region extending to the posterior and lateral aspect of both thighs, who were planned for debridement and split skin grafting. Both patients had difficulty in siting and lying on either side of lateral position. We had administered subarachnoid block in prone position taking into consideration of patient’s comfort and the nature of the procedure. Both patients remained hemodynamically stable throughout the procedure and their post-operative periods were uneventful.
Keywords: Burn; prone position; subarachnoid block

Author Biography

Bidur Kumar Baral, National Academy of Medical Sciences NAMS, Bir Hospital, Kathmandu, Nepal

Associate professor,

Department of Anesthesiology and Intensive Care

Additional Files

Published

2021-01-22

Issue

Vol. 18 No. 04 (2020): Issue 49 Oct-Dec

Section

Case Report