Successful Anesthetic Management of Patient with Severe Scoliosis Due to Cerebral Palsy Who Underwent Dental Surgery

Diab Bani Hani,1 Ala”a Alhowary,1 Saif Gharaibeh,2 Rawand Al-zoubi3 1Department of Anesthesiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 21110, Jordan; 2Department of General Surgery, Faculty of Medicine, Al-Balqa Applied University, Salt, 19117, Jordan; 3Department of Anesthesia and Critical Care, Ministry of Health, Amman, JordanCorrespondence: Diab Bani Hani, Department of Anesthesiology, Faculty of Medicine, Jordan University of Science and Technology, P. O. Box: 3030, Irbid, 22110, Jordan, Email dabanihani@just.edu.joAbstract: Patients with cerebral palsy may have intellectual disabilities, convulsions, scoliosis, or thoracic deformities. Scoliosis is a complex deformity of the spine resulting in secondary involvement of the respiratory, cardiovascular and neurologic systems which may affect the anesthesia for those patients We reported a case of a 17-year-old female with cerebral palsy and severe scoliosis who presented for dental caries operation under general anesthesia. General anesthesia was conducted, difficult airway management sets have been prepared, and pressure control ventilation to minimize peak airway pressure was adopted. Anesthetic management was performed without anesthesia-related complications. We recognize that considerable attention is required in patients with cerebral palsy. Perioperative management and general anesthesia of patients with cerebral palsy who have severe scoliosis represent significant challenges. Multidisciplinary approach through team included surgeons, anesthesiologists, neurophysiologists, pediatricians, nurses, nutritionists, and physiotherapists is required.Keywords: scoliosis, general anesthesia, cerebral palsy, oxygenation