Laminectomy under bilateral paravertebral block in a patient with multiple Co-Morbidities

Abstract

We report a case of 81 yr old male patient, diagnosed with spinal canal stenosis with bilateral lower limb pain, posted for Laminectomy. Patient had multiple co-morbidities including Hypertension, Diabetes mellitus type 2, obesity, sarcoidosis and COPD. Laminectomy was performed under bilateral paravertebral block using 0.25% Bupivacaine. Regional anaesthesia techniques have played a pivotal role in decreasing morbidity and mortality in high risk cases by providing both intraoperative anaesthesia and postoperative analgesia, without any major side effects. In this case, paravertebral block was helpful, not only in conducting surgery successfully, but also helps in providing post-operative analgesia without using any sedative drugs or NSAIDS which may exacerbate symptoms related to any of above co-morbidities.