A case of achondroplasia for emergency cesarean section
Keywords:
Cesarean delivery, Dwarf, Short stature, Spinal anesthesiaAbstract
Patients with achondroplasia present with various anatomical and physiological features including skeletal, neurological, and cardiopulmonary abnormalities. These characteristics create a difficult scenario wherein the selection of general or regional anesthesia becomes a dilemma. Moreover, pregnancy-induced changes in gravid achondroplastic patients further complicate the anesthetic management. The unavailability of proper guidelines and controversies regarding proper anesthetic techniques, drug choice, dosage, and involvement of multiple organ systems challenges anesthesiologists. Here, we present a case of a gravid achondroplastic patient, with a height of 112 cm and mild thoracolumbar scoliosis with intrauterine fetal death in labor, scheduled for emergency lower segment cesarean section and who was managed successfully with spinal anesthesia using low dose anesthetic agents.
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