OUT OF PLANE INTERSCALENE BLOCK – AN ANATOMICAL CHALLENGE RUNNING TITLE: CERVICO-THORACIC KYPHOSCOLIOSIS

The anaesthetic challenges of a patient with scoliosis are well known. The key systems involved are respiratory, cardiovascular and skeletal system. This poses a signicant risk and difculty in intubation, ventilation, positioning and administering regional anaesthesia. This case report describes the successful management of a 58- year-old female weighing 36 kg with severe cervico-thoracic scoliosis undergoing proximal humerus xation. Given her signicant anatomical and physiological challenges, an interscalene brachial plexus block was chosen as the primary anaesthetic technique. The case report highlights the benets of regional anaesthesia in patients with comorbidities, emphasizing a multidisciplinary approach for optimal perioperative care.