Key result
General anesthesia with a Laryngeal Mask Airway (LMA) was safely and successfully used in an achondroplastic patient undergoing abdominal hysterectomy after failed spinal anesthesia.
Case Report (n=1)
No
General anesthesia using a Laryngeal Mask Airway can be safely used in patients with achondroplasia when regional anesthesia fails due to spinal abnormalities.
May support LMA after failed spinal in achondroplasia; leaves open need for prospective safety data.
Achondroplasia is the commonest form of dwarfism. These patients present several problems for both general and regional anesthesia. There are reports describing regional anesthesia in such patients but there are scarce reports of general anesthesia. The aim of this report is to discuss anesthetic considerations in such patients and to emphasize the difficulties encountered. A 34 year old patient with achondroplasia underwent abdominal hysterectomy under general anesthesia supplemented with regional analgesia. Since preoperative assessment suggested difficult airway, regional anesthesia was planned which was not successful due to spinal abnormality. Subsequently general anesthesia was established with Laryngeal Mask Airway (LMA) with controlled ventilation without any complication.
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Karnalkar et al. (2015) conducted a case report in Achondroplasia (n=1). General anesthesia with Laryngeal Mask Airway (LMA) was evaluated on Successful anesthesia management. General anesthesia with a Laryngeal Mask Airway (LMA) was safely and successfully used in an achondroplastic patient undergoing abdominal hysterectomy after failed spinal anesthesia.
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