Indian Journal of Anaesthesia

CASE REPORT
Year
: 2011  |  Volume : 55  |  Issue : 3  |  Page : 296--298

Failed rapid sequence induction in an achondroplastic dwarf


Jasleen Kaur, Padmaja Durga, Nirmala Jonnavithula, Gopinath Ramachandran 
 Department of Anaesthesiology and Intensive Care, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Jasleen Kaur
Department of Anaesthesiology and Intensive Care, Nizam«SQ»s Institute of Medical Sciences, Hyderabad, Andhra Pradesh
India

Achondroplasia, a common cause of short limbed type of dwarfism is due to quantitative decrease in rate of endochondral ossification. This abnormal bone growth leads to disproportionate body and head structure, thus placing them under high risk for anaesthetic management. There is paucity in literatures, regarding appropriate drug dosage selection in these patients. Use of drugs as per standard dosage recommendations based on body weight or body surface area, may not be adequate in these patients owing to discrepancies in overall body weight and lean body weight, especially during rapid sequence induction. Here, we report a case of failed rapid sequence induction due to abnormal response to administered drugs in an adult achondroplastic dwarf. Standard doses of thiopentone and rocuronium had to be repeated thrice to achieve adequate conditions for intubation.


How to cite this article:
Kaur J, Durga P, Jonnavithula N, Ramachandran G. Failed rapid sequence induction in an achondroplastic dwarf.Indian J Anaesth 2011;55:296-298


How to cite this URL:
Kaur J, Durga P, Jonnavithula N, Ramachandran G. Failed rapid sequence induction in an achondroplastic dwarf. Indian J Anaesth [serial online] 2011 [cited 2020 Mar 29 ];55:296-298
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=3;spage=296;epage=298;aulast=Kaur;type=0