Anesthetic management of achondroplastic dwarf undergoing cesarean section--a case report

Middle East J Anaesthesiol. 2010 Oct;20(6):907-10.

Abstract

There are more than 100 different types of dwarfism. Achondroplasia is the most common of these conditions. The aim of this report is to describe the anesthetic management of these patient, discussing the anesthetic considerations and emphasizing the difficulties encountered. A 32-year-old achondroplastic parturient underwent cesarean section under general anesthesia. We did not encounter problems related with airway management. The operation went without any complication. There are risks for both regional and general anesthesia in achondroplastic patients. The most important point is the careful preoperative assessment. Anesthesia plan should be specified to individual basis.

Publication types

  • Case Reports

MeSH terms

  • Achondroplasia / complications*
  • Adult
  • Anesthesia, General / methods*
  • Anesthesia, Obstetrical / methods*
  • Anesthetics, Inhalation
  • Anesthetics, Intravenous
  • Cesarean Section*
  • Female
  • Humans
  • Intubation, Intratracheal
  • Methyl Ethers / therapeutic use
  • Neuromuscular Depolarizing Agents
  • Nitrous Oxide / therapeutic use
  • Oxygen / therapeutic use
  • Pregnancy
  • Pregnancy Complications*
  • Sevoflurane
  • Succinylcholine / therapeutic use
  • Thiopental / therapeutic use

Substances

  • Anesthetics, Inhalation
  • Anesthetics, Intravenous
  • Methyl Ethers
  • Neuromuscular Depolarizing Agents
  • Sevoflurane
  • Succinylcholine
  • Thiopental
  • Nitrous Oxide
  • Oxygen