Journal of Obstetric Anaesthesia and Critical Care

CASE REPORT
Year
: 2022  |  Volume : 12  |  Issue : 2  |  Page : 167--169

Combined spinal-epidural for emergency cesarean section in a multiparous parturient with achondroplasia


Siyu Lye1, Phui Sze Au Yong2 
1 Division of Anesthesiology and Perioperative Medicine Singapore General Hospital, Singapore
2 Hospital Drive, Singapore

Correspondence Address:
Siyu Lye
KK Women's and Children's Hospital, 100 Bukit Timah Rd, 229899
Singapore

Parturients with achondroplasia post unique challenges to the anesthetist. Term achondroplastic parturients may have cephalopelvic disproportion resulting in lower section cesarean section (LSCS). Premature ossification of bones results in characteristic craniofacial abnormalities and is associated with atlantoaxial instability and macroglossia leading to a difficult airway. With pregnancy, airway edema and reduced functional reserve capacity further complicate intubation. Central neuraxial blockade (CNB) is challenging due to potential kyphoscoliosis, spinal stenosis, the unpredictable spread of local anesthetics in central neural space, and uncertainty of dose due to disproportionate spinal column to overall height. We present the challenges in a multiparous achondroplastic parturient coming in for emergency cesarean section done under combined spinal-epidural anesthesia technique.


How to cite this article:
Lye S, Au Yong PS. Combined spinal-epidural for emergency cesarean section in a multiparous parturient with achondroplasia.J Obstet Anaesth Crit Care 2022;12:167-169


How to cite this URL:
Lye S, Au Yong PS. Combined spinal-epidural for emergency cesarean section in a multiparous parturient with achondroplasia. J Obstet Anaesth Crit Care [serial online] 2022 [cited 2022 Dec 7 ];12:167-169
Available from: https://www.joacc.com/article.asp?issn=2249-4472;year=2022;volume=12;issue=2;spage=167;epage=169;aulast=Lye;type=0