Anaesthetic Management of Caesarean Section in an Achondroplastic Dwarf

oleh: Kirti N Saxena, Dheeraj Kapoor, Bharti Taneja, Lalit Maini, Shallu Hora

Format: Article
Diterbitkan: Wolters Kluwer Medknow Publications 2008-01-01

Deskripsi

Achondroplasia is the commonest form of dwarfism which results from abnormal cartilage formation at epiphyseal growth plates .It is also known as short-limbed dwarfism. Anaesthetic management of caesarean section in these patients requires a deep understanding of this condition. A twenty year old parturient with short stature presented to the hospital in early labour. An elective lower segment caesarean section(LSCS) was planned in view of cephalopelvic disproportion. She had papers which suggested that she had been diagnosed as a case of achondroplasia though details were not available. Combined spinal epidural(CSE) anaesthesia was planned in the patient in view of the death of her first baby following caesarean section under general anaesthesia. Repeatedly dry taps were achieved on attempting dural puncture. Dural puncture was abandoned and an 18 G epidural catheter was threaded via the Tuohy needle. Sensory block till T 6 was achieved with 6ml of local anaesthetic solution. The patient was stable during the intraoperative and postoperative period.