Das 25 years , Unconscious since 23 days following road traffic accident, GCS 8-9, CT scan does not show any definite pathology like blood, midline shift, Clinically patient is stable vitals, spontaneouly breathing , On ryles tube feeding, Neurologically the patient had increased muscle tone in limb muscles like UMN disease.No convulsion. Needed opeartion for # shaft of femur and Tibial head. A spinal anaesthesia was adminstered at L-3-4 interspace with sensorcaine 3 ml and appropriate positioning for minimal fall in BP
The spinal fluid was discolored some what deep straw colored but no increased pressure.
Intra operatively a small dose of thiopentone was given to reduce the muscle tone and Oxygen by mak
The intra operative period was uneventful ..
The spinal fluid was discolored some what deep straw colored but no increased pressure.
Intra operatively a small dose of thiopentone was given to reduce the muscle tone and Oxygen by mak
