Anaesthetic management of a patient with severe kyphoscoliosis with left psoas abscess

Abstract

Patients with Severe Kyphoscoliosis present with unusual challenges for the Anaesthetist. Achieving an adequate subarachnoid block (SAB) can be a daunting process let alone maintaining the airway due to their restrictive lung disease. We present a case of anaesthetic management and difficult intubation in a patient with severe kyphoscoliosis with left sided Psoas Abscess with failed SAB, restrictive lung disease having restricted neck movements using awake fibre optic intubation.