yes  she eventually did after 2 months of rehab...

yes i did put the patient on reverse trend position...and yes i incorporated morphine in my spinal..thanks for the response guys

i did the case in a lateral decubitus position. i did not attempt to do a saddle block because in need the T10 for the proctoscopy

hello again!  i did a hemorrhoidectomy case that went awry. The patient was a 39y/o male, 190 pounds, ASA 1 for proctoscopy-hemorrhoidectomy. After preloading the patient with 700cc IV solution, i gave spinal anesthesia using Bupivacaine 0.5% heavy 10mg after which patient was placed on prone position. Just after a minute, patient complained of difficulty of breathing, O2 saturation decreased from 99 to 80 to 75, bp went down from 120/80 to 70/50. i tried ventilating but 02 sat went up to only 85. I immediately called for help and placed the patient on supine . There wwas improvement after a few seconds. Is this high spinal?

     i had a 37 year old patient with child-onset poliomyelitis who underwent ceasarean section under Bupivacaine Heavy spinal anesthesia. The procedure itself was uneventful however patient complained of prolonged paralysis for a week after the procedure. Pre-operatively the patient's motor status was 2/5 on both lower extremities but became 0-1/5 after the procedure...any thoughts...Is polio considered an absolute /relative contraindication to spinal anesthesia