Achondroplasia: anaesthetic challenges for caesarean section

L. Dubiel (Lead / Corresponding author), G. A. Scott, R. Agaram, E. McGrady, A. Duncan, K. N. Litchfield

    Research output: Contribution to journalArticlepeer-review

    8 Citations (Scopus)

    Abstract

    Pregnancy in women with achondroplasia presents major challenges for anaesthetists and obstetricians. We report the case of a woman with achondroplasia who underwent general anaesthesia for an elective caesarean section. She was 99 cm in height and her condition was further complicated by severe kyphoscoliosis and previous back surgery. She was reviewed in the first trimester at the anaesthetic high-risk clinic. A multidisciplinary team was convened to plan her peripartum care. Because of increasing dyspnoea caesarean section was performed at 32 weeks of gestation. She received a general anaesthetic using a modified rapid-sequence technique with remifentanil and rocuronium. The intraoperative period was complicated by desaturation and high airway pressures. The woman's postoperative care was complicated by respiratory compromise requiring high dependency care.
    Original languageEnglish
    Pages (from-to)274-278
    Number of pages5
    JournalInternational Journal of Obstetric Anesthesia
    Volume23
    Issue number3
    DOIs
    Publication statusPublished - 2014

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