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J Contemp Med. 2012; 2(2): 112-114


Regional anesthesia in a patient presenting with varicella

Handan Güleç, Seher Altınel, Merve Bayraktaroğlu, Esra Özayar, Münire Babayiğit, Semih Değerli, Aysun Kurtay.

Abstract
Varicella zoster virus (VZV) is a DNA virus of herpes family. It is characterized by vesicular rash, fever and fatigue and it is a self-limiting disease.
22 years old male patient referred to ER with acute abdominal symptoms.
We observed that the patient presenting with exanthema and fever for 10 days was diagnosed with varicella. In the preoperative examination, pulse was detected: 120 beats/minutes, blood pressure: 90/55 mmHg, Mallampathy score (Type 4) was high and neck joint could not manage extension, for this, regional anesthesia was decided to be performed.
Detecting a small sized area without rashes between L4-5, 15 mg heavy marcain was injected to subarachnoid distance with 26 G spinal needle.
When sensorial block grade was T8 incision was initiated. Intra operative vital results were stabile and the patient was referred to service without any PO problem.

Key words: Varicella, spinal anesthesia, heavy marcain, acute abdomen, lesion



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