A 27-year-old male patient residing at an altitude of 16,000 feet was posted for emergency open appendectomy. The nearest tertiary care hospital was 1,000 km by road and the weather… Click to show full abstract
A 27-year-old male patient residing at an altitude of 16,000 feet was posted for emergency open appendectomy. The nearest tertiary care hospital was 1,000 km by road and the weather was not conducive for air evacuation. The patient was well acclimatised, residing there for the last 4 months, with an oxygen saturation of 98% on room air. He was taken up for surgery under spinal anaesthesia (SA). A spinal dermatomal blockade up to T6-T8 level
               
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