Single shot spinal anaesthesia for emergency Caesarean section in an Achondroplastic parturient

JOB GOGO OTOKWALA, Sotonye Fyneface-Ogan

Abstract


Aim: The use of the single shot spinal anaesthesia for Caesarean delivery is now a common practice worldwide. This paper highlights the use of this anaesthetic technique on a parturient with achondroplasia that presented at term with obstructed labour and had a Caesarean delivery.

Method: The patient did not receive any antenatal care prior to presentation. She had moderate to severe dehydration with some oliguria. She was adequately resuscitated and had an emergency Caesarean section under a single shot spinal anaesthesia.

Result: She had a live baby with good Apgar scores. The postoperative period was uneventful and was discharged home on the 8th postoperative day.

Conclusion: This paper highlights a parturient with a unique physiognomy that could the challenge the unprepared anaesthetist. 


Keywords


Anaesthesia, Obstetrics, single shot spinal technique, achondroplasia.

References


Murphy CG, Chrea B, Molloy AP, Nicholson P. Small is challenging; distal femur fracture management in an elderly lady with achondroplastic dwarfism. BMJ Case Rep. 2013 Mar 20; 2013. pii: bcr2013008793. doi: 10.1136/bcr-2013-008793.

Murdoch JL, Walker BA, Hall JG, Abbey H, Smith KK, Mckusick VA. Achondroplasia-a genetic and statistical survey. Ann Human Genetics 1970; 33: 227-244

Morrow MJ, Black JH. Epidural anaesthesia for Caesarean section in an achondroplastic dwarf. Br J Anaesthesia 1998; 81: 619-621

Rukewe A, Morhason-Bello IO, Fatiregun A, Orji M. Combined Spinal and epidural anaesthesia for an elective Caesarean section in a patient with achondroplasia. S Afr J Anaesthesiol Analg 2012; 18: 348-350

Ekwere IT, Edomwonyi NP, Imarengiaye CO. Afr J Reprod Health 2010; 14: 149-155

Zilberman P. A proposed mathematical model for calculating local anesthetic doses for Cesarean sections (and not only). http://www.csen.com/PAUL.ppt.

Mayhew JF, Katz J, Miner M, Leiman BC, Hall ID. Anaesthesia for the achondroplastic dwarf. Can Anaesth Soc J 1986 Mar;33(2):216–21

Hall JG. Special problems of anaesthesia for little people. http//www.1po.on.ca/ANAESTHESIA.HTM

Sukanya M, Nilanjan D, Gomber KK Emergency esarean section in a patient with Achondroplastia: An Anesthetic Dilemma. J Anesth Clin Pharmacol 2007; 23: 315-318

Saxena KN, Kapoor D, Taneja B, et al. Anaesthetic management of Caesarean section in an achondroplastic dwarf. Indian J Anesth 2008; 52: 844

DeRenzo JS, Vallejo MC, Ramanathan S. Failed regional anaesthesia with reduced spinal bupivacaine dosage in a parturient with achondroplasia presenting for urgent caesarean section. Int J Obstet Anaesth 2005; 14: 175-178

Crawford M, Dutton DA. Spinal anaesthesia for Caesarean section in an achondroplastic dwarf. Anaesthesia (Letter) 1992; 47: 1007

Sunanda G, Reema M, Prem RN. Combined spinal epidural anaesthesia for myomectomy in an achondroplastic dwarf. Indian J Anaesth 2005; 49: 430-431


Full Text: PDF

Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

ISSN: 1597-4292

x
Message