Combined Spinal Epidural Overcoming a Lumbar Lipoma for Lower Limb Both Bone Fracture

Robin S Chacko; Krishna Prasad Thangarasu; Hariesh Annamalai

doi:10.5005/jp-journals-10049-0103

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Combined Spinal Epidural Overcoming a Lumbar Lipoma for Lower Limb Both Bone Fracture

Robin S Chacko, Krishna Prasad Thangarasu, Hariesh Annamalai

Keywords : Anesthesia, Epidural, Lipoma, Spinal

Citation Information : Chacko RS, Thangarasu KP, Annamalai H. Combined Spinal Epidural Overcoming a Lumbar Lipoma for Lower Limb Both Bone Fracture. Res Inno Anesth 2021; 6 (2):44-45.

DOI: 10.5005/jp-journals-10049-0103

License: CC BY-NC 4.0

Published Online: 26-11-2021

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Abstract

Lipomas are a commonly occurring tumor and this particular one brought about challenges to our plan of anesthesia owing to its location. General anesthesia was unwarranted owing to the nature of the surgery as well as the COPD that the patient was suffering from. With meticulous technique and good knowledge of anatomy, we safely executed combined spinal-epidural anesthesia for our patient, the highlight being threading the epidural catheter downward above the lipoma to position it optimally and administering the subarachnoid block from below the lipoma, which resulted in satisfactory intra- and postoperative outcomes.

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