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Spinal anaesthesia guided by computed tomography scan in a patient with severe post-polio sequelae

Editor—The anaesthetic management of a patient with post-polio syndrome (PPS) is always a challenge. Spinal anaesthesia is controversial in these patients because the abnormal spinal anatomy may lead to difficult dural puncture or risk of exacerbating existing disease.1However, there have been no reports of adverse effects due to regional anesthesia in PPS patients, and the increased susceptibility of motor neurons to local anaesthetic toxicity remains theoretical. We report here a case of successful spinal anaesthesia guided by computed tomography (CT) scan in a patient with severe post-polio spinal deformities who underwent transurethral resection of bladder tumour.
A 66-yr-old man (height, 180 cm; weight, 55 kg) was undergoing transurethral resection of a bladder tumour. He presented [Full Text of this Article] http://bja.oxfordjournals.org/content/105/5/702.extract
BROKEN WINGS ( POST POLIO SYNDROME )
Muestra los enfermos de polio en Angeles City, Filipinas.



Si lo que vas a decir no es más bello que el silencio: no lo digas.
El odio es una tendencia a aprovechar todas las ocasiones para perjudicar a los demás.
 Elige mejor el camino de amor a tus semejantes tendrás experiencias muy bellas.

APPLAC

shockwave-flash

Si los amas vacunalos

Gammaglobulin til behandling af Post Polio Syndrom (PPS) from PTU on Vimeo.

Gammaglobulin til behandling af Post Polio Syndrom (PPS) from PTU on Vimeo.