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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 6  |  Page : 844

Anaesthetic Management of Caesarean Section in an Achondroplastic Dwarf


1 Professor, Department of Anaesthesiology, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India
2 Senior resident, Department of Anaesthesiology, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India
3 Assistant Professor, Department of Anaesthesiology, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India
4 Associate Professor, Department of Orthopaedics, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India
5 P.G.Student, Department of Anaesthesiology, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India

Correspondence Address:
Kirti N Saxena
B-302 Gitanjali Apartments, Vikas Marg Extension, New Delhi-110092
India
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Source of Support: None, Conflict of Interest: None


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Achondroplasia is the commonest form of dwarfism which results from abnormal cartilage formation at epiphyseal growth plates .It is also known as short-limbed dwarfism. Anaesthetic management of caesarean section in these patients requires a deep understanding of this condition. A twenty year old parturient with short stature presented to the hospital in early labour. An elective lower segment caesarean section(LSCS) was planned in view of cephalopelvic disproportion. She had papers which suggested that she had been diagnosed as a case of achondroplasia though details were not available. Combined spinal epidural(CSE) anaesthesia was planned in the patient in view of the death of her first baby following caesarean section under general anaesthesia. Repeatedly dry taps were achieved on attempting dural puncture. Dural puncture was abandoned and an 18 G epidural catheter was threaded via the Tuohy needle. Sensory block till T 6 was achieved with 6ml of local anaesthetic solution. The patient was stable during the intraoperative and postoperative period.


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