Successful Spinal Anaesthesia in Patient of Achondroplasia Undergoing Lower Segment Cesarean Section

Vinod Kumar Srivastava, Sumita Kumari, Shefali Gautam, Rita Wahal

Abstract: There are more than 100 different types of dwarfism. Achondroplasia is the commonest form of dwarfism is associated with several bony changes in face, neck, spine, and can also have neurological and cardiopulmonary complications. Thus it presents several challenges to the anaesthesiologist as selecting anaesthetic technique. The aim of this report is to describe the anaesthetic consideration and problem encountered in management of these patients and preference of spinal anaesthesia over general anaesthesia. We report a 25 years old full term primigravida an achondroplastic parturient 126cm tall, weighing 39 kg, with 38-week pregnancy presenting with non-reactive non stress test and fetal distress where spinal anesthesia was used for emergency cesarean section. We used low dose spinal anaesthesia and did not encounter any problem regarding procedure and level of block

Keywords: Achondroplasia, Dwarfism, Cesarean section, Spinal Anaesthesia, General Anaesthesia