Key result
Spinal anaesthesia successfully manages emergency cesarean section in a patient with Klippel Feil syndrome.
Why the study?
Parturients with Klippel Feil syndrome present difficult airway challenges requiring individualized anaesthesia management, with considerations between regional and general anaesthesia.
Case Report (n=1)
No
Spinal anaesthesia can be successfully used for emergency cesarean section in parturients with Klippel Feil syndrome to avoid the risks of general anaesthesia.
May warrant individualized regional anesthesia consideration in KFS parturients; leaves open comparative safety data versus general anesthesia.
Klippel Feil syndrome (KFS) is a rare autosomal genetic disorder comprising of classical triad of short neck, low hairline, and limited neck mobility. Parturient with KFS syndrome presents with difficult airway and needs individualized consideration for Anaesthesia. Management with Regional Anaesthesia has its pros and cons and can be considered in parturient with KFS as General Anaesthesia in pregnancy poses increased risk of aspiration, difficult mask ventilation and endotracheal intubation. We present a case of a 25-yr old parturient G3A2 with 34+4 weeks of gestation with KFS syndrome posted for emergency caesarean section managed successfully under spinal anaesthesia.
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S. Mehta (2023) conducted a case report in Klippel Feil Syndrome in pregnancy (n=1). Spinal Anaesthesia was evaluated on Successful completion of surgery and maternal/fetal outcome. Spinal anaesthesia was successfully used to manage an emergency cesarean section in a parturient with Klippel Feil syndrome, resulting in good maternal and fetal outcomes.
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