Case of spina bifida occulta posted for emergency above-knee amputation- can spinal anaesthesia be given?

Author: 
Dr. Anju Paul, Dr. Vaibhav Mohansing Solanke, Madhuri Deelip Tayade, Dr. Taseen Sida A.S., Dr. Kuldeep Kumar and Dr Sonu Rajeshwar Madavi

Neural tube defects are one of the common congenital birth defects and are a relative contraindication for spinal anaesthesia. Spinal anaesthesia for neural tube defects like spinal bifida occulta needs careful neurological evaluation. Neuraxial anaesthesia can be considered if the benefit outweighs the risk. Here, we are presenting a case of a spina bifida patient with a difficult airway and lower respiratory tract infection posted for above-knee amputation managed with spinal anaesthesia as an anaesthetic technique.

Paper No: 
5794