Anesthesia for cesarean section in a patient with achondroplasia

  • Walter Osorio Rudas Specialist in Anesthesiology and Resuscitation, Unidad Materno infantil, Clínica Universitaria Pontifica Bolivariana, Medellín, Colombia
  • Nury Isabel Socha Garcia Specialist in Anesthesiology and Resuscitation, Unidad Materno infantil, Clínica Universitaria Pontifica Bolivariana, Medellín, Colombia
  • Alejandro Upegui Specialist in Anesthesiology and Resuscitation, Unidad Materno infantil, Clínica Universitaria Pontifica Bolivariana, Medellín, Colombia
  • Ángela Ríos Medina Specialist in Anesthesiology and Resuscitation, Universidad de Caldas, Manizales, Colombia
  • Adrian Moran Resident of Anesthesiology and Resuscitation, Universidad de la Sabana, Bogotá, Colombia
  • Oscar Aguirre Ospina Specialist in Anesthesiology and Resuscitation, Universidad de Caldas, Manizales, Colombia
  • Carlos Rivera Resident of Anesthesiology and Resuscitation, Universidad Sur Colombiana, Huila, Colombia
Keywords: Anesthesia, Obstetrical anesthesia, Cesarean section, Achondroplasia

Abstract

Introduction: Cesarean section under general anesthesia is recommended in achondroplastic pregnant patients; however, the use of conductive techniques has been recently reported, with acceptable results.

Objective: To describe the anesthesia management in an achondroplastic patient scheduled for C-section under combined spinal-epidural anesthesia.

Methods and results: We present the case of a first pregnancy in a patient with achondroplasia, height 110 cm and 37 weeks of gestation. The patient underwent cesarean section under ultrasound-guided conductive anesthesia, using a titrated mixture of local anesthetic and opiate, with good results for the mother and child.

Conclusions: Conductive anesthesia is an option in C-section in patients with achondropla-sia. Although there are no clear recommendations to guide a safe access to the neuroaxis or to administer anesthetic agents at this level, ultrasound and the titrated administration of neuraxial drugs (epidural, epidural-spinal and continuous spinal) for improved safety and efficacy of the technique in this type of patients may be considered.

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How to Cite
1.
Osorio Rudas W, Socha Garcia NI, Upegui A, Ríos Medina Ángela, Moran A, Aguirre Ospina O, Rivera C. Anesthesia for cesarean section in a patient with achondroplasia. Colomb. J. Anesthesiol. [Internet]. 2012Oct.1 [cited 2022Jul.6];40(4):309–312. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/776

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Published
2012-10-01
How to Cite
1.
Osorio Rudas W, Socha Garcia NI, Upegui A, Ríos Medina Ángela, Moran A, Aguirre Ospina O, Rivera C. Anesthesia for cesarean section in a patient with achondroplasia. Colomb. J. Anesthesiol. [Internet]. 2012Oct.1 [cited 2022Jul.6];40(4):309–312. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/776
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Case Report / Case Series

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