“Subarachnoid block in active burn injury”: A case report of anesthetic challenges and considerations
Anesthetists pose different challenges in burn cases associated with polytrauma. Here, we present a case of a 35-year-old male electrician with an electric burn and a fall from height who sustained major chest trauma (hemothorax, pneumothorax, emphysema, and multiple rib fracture, and bilateral femu...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of Family Medicine and Primary Care |
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| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_1245_24 |
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| author | Rutuja Gohad Sudha S. Jain Shubham Rahane Dushyant Bawiskar |
| author_facet | Rutuja Gohad Sudha S. Jain Shubham Rahane Dushyant Bawiskar |
| author_sort | Rutuja Gohad |
| collection | DOAJ |
| description | Anesthetists pose different challenges in burn cases associated with polytrauma. Here, we present a case of a 35-year-old male electrician with an electric burn and a fall from height who sustained major chest trauma (hemothorax, pneumothorax, emphysema, and multiple rib fracture, and bilateral femur fracture). The collocated burn over the spinal region posed the challenge to administering a subarachnoid block, which was overcome with a paramedian approach anesthesia. The surgical outcome was good, and the patient was stable post-surgery. The paramedian approach provides an excellent alternative to the midline approach for spinal anesthesia. It should be considered in burn patients where it is impossible for the patient to flex, where the intervertebral space is very low, or when there is a burn present over the spinal region. Ultimately, early therapy and mobility goals, two essential components of burn care and rehabilitation, can be achieved with the use of paramedian regional anesthesia. |
| format | Article |
| id | doaj-art-4bc873d2bb6845a7aaa3cbec4de5c1a2 |
| institution | Kabale University |
| issn | 2249-4863 2278-7135 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj-art-4bc873d2bb6845a7aaa3cbec4de5c1a22025-02-11T14:06:55ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352025-01-0114150250510.4103/jfmpc.jfmpc_1245_24“Subarachnoid block in active burn injury”: A case report of anesthetic challenges and considerationsRutuja GohadSudha S. JainShubham RahaneDushyant BawiskarAnesthetists pose different challenges in burn cases associated with polytrauma. Here, we present a case of a 35-year-old male electrician with an electric burn and a fall from height who sustained major chest trauma (hemothorax, pneumothorax, emphysema, and multiple rib fracture, and bilateral femur fracture). The collocated burn over the spinal region posed the challenge to administering a subarachnoid block, which was overcome with a paramedian approach anesthesia. The surgical outcome was good, and the patient was stable post-surgery. The paramedian approach provides an excellent alternative to the midline approach for spinal anesthesia. It should be considered in burn patients where it is impossible for the patient to flex, where the intervertebral space is very low, or when there is a burn present over the spinal region. Ultimately, early therapy and mobility goals, two essential components of burn care and rehabilitation, can be achieved with the use of paramedian regional anesthesia.https://journals.lww.com/10.4103/jfmpc.jfmpc_1245_24burnfemur and fracturepoly traumaregional anesthesiologysubarachnoid block |
| spellingShingle | Rutuja Gohad Sudha S. Jain Shubham Rahane Dushyant Bawiskar “Subarachnoid block in active burn injury”: A case report of anesthetic challenges and considerations Journal of Family Medicine and Primary Care burn femur and fracture poly trauma regional anesthesiology subarachnoid block |
| title | “Subarachnoid block in active burn injury”: A case report of anesthetic challenges and considerations |
| title_full | “Subarachnoid block in active burn injury”: A case report of anesthetic challenges and considerations |
| title_fullStr | “Subarachnoid block in active burn injury”: A case report of anesthetic challenges and considerations |
| title_full_unstemmed | “Subarachnoid block in active burn injury”: A case report of anesthetic challenges and considerations |
| title_short | “Subarachnoid block in active burn injury”: A case report of anesthetic challenges and considerations |
| title_sort | subarachnoid block in active burn injury a case report of anesthetic challenges and considerations |
| topic | burn femur and fracture poly trauma regional anesthesiology subarachnoid block |
| url | https://journals.lww.com/10.4103/jfmpc.jfmpc_1245_24 |
| work_keys_str_mv | AT rutujagohad subarachnoidblockinactiveburninjuryacasereportofanestheticchallengesandconsiderations AT sudhasjain subarachnoidblockinactiveburninjuryacasereportofanestheticchallengesandconsiderations AT shubhamrahane subarachnoidblockinactiveburninjuryacasereportofanestheticchallengesandconsiderations AT dushyantbawiskar subarachnoidblockinactiveburninjuryacasereportofanestheticchallengesandconsiderations |