Key result
Spinal anaesthesia with bupivacaine and fentanyl enables successful emergency caesarean section despite achondroplastic spinal deformities.
Why the study?
Anaesthetic management of achondroplastic parturients can prove challenging, particularly during emergency LSCS, due to associated skeletal deformities and the physiological changes of pregnancy.
Case Report (n=1)
Highlights the challenges and considerations in the anesthetic management of an achondroplastic parturient undergoing emergency cesarean section.
Case supports feasibility of spinal anesthesia in achondroplastic parturients with deformities; leaves open generalizability and safety in larger cohorts.
Achondroplasia, an autosomal dominant disorder, is one of the common causes of disproportionate dwarfism, with a worldwide prevalence of about 1:25,000-30,000.It is characterized by skeletal deformities, commonly affecting spine, secondary to genetic mutation in bone ossification.We present a case report of an achondroplastic primigravida with short stature, short neck, kyphoscoliosis and hypotonia of bilateral lower limb presenting for emergency LSCS.Anesthetic management of such cases can prove changing more so in emergency LSCS, owing to the physiological changes of pregnancy itself, which has been discussed in this case report.
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Dr Priyanka Tetarwal (2020) conducted a case report in Achondroplasia in pregnancy requiring emergency lower segment caesarean section (n=1). Spinal anaesthesia was evaluated on Successful delivery and anaesthetic management. Spinal anaesthesia using 0.5% hyperbaric bupivacaine and fentanyl was successfully administered in an achondroplastic parturient for emergency caesarean section despite spinal deformities.
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