Authors : Urmila Palaria, Kamal Nayan Joshi, Yeeti Upreti
DOI : 10.18231/j.ijca.2021.025
Volume : 8
Issue : 1
Year : 2021
Page No : 129-132
Background: Achondroplasia is the commonest variety of rhizomelic dwarfism, which results from abnormal cartilage formation at epiphyseal growth plates. The peculiar facial features, bony deformities and systemic abnormalities often pose a difficulty in administration of anesthesia, particularly in the parturients. There are very few reported cases of spinal anesthesia in achondroplastic parturients, because of its feared high risks.
Case Report: We reported, two cases of achondroplastic parturients with short stature, planned for emergency lower segment caesarean section (LSCS), in view of cephalo-pelvic disproportion under spinal anesthesia.
Conclusion: We discussed the anesthetic issues to achondroplastic parturients and finally did under spinal anesthesia. Besides, a myriad of problems encountered in these patients warrant a careful pre-anesthetic evaluation to warrant patients’ safety and affirmative procedure outcomes.
Keywords: Achondroplasia, Dwarfism, Spinal anesthesia, Caesarean section.