title: Combined spinal epidural anaesthesia for vesico-vaginal fistula repair in an achondroplastic dwarf.
abstract: A 33-year-old achondroplastic female was scheduled to undergo vesico-vaginal fistula repair by the abdominoperineal route. Preoperative examination suggested a difficult airway so a combined spinal epidural technique was used. Subarachnoid block (sensory loss to T6) was established using 0.5% hyperbaric bupivacaine 1 ml. Anaesthesia was prolonged with incremental doses of epidural bupivacaine 0.5% (total 10 ml) and postoperative analgesia was provided with epidural morphine boluses.
authors.affiliation: Department of Anesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi.
authors.forename: A
authors.initials: A
authors.lastname: Trikha
authors.forename: K
authors.initials: K
authors.lastname: Goyal
authors.forename: G S
authors.initials: GS
authors.lastname: Sadera
authors.forename: M
authors.initials: M
authors.lastname: Singh
mesh_terms: D000130:Achondroplasia; D000328:Adult; D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal; D002045:Bupivacaine; D005260:Female; D006801:Humans; D014719:Vesicovaginal Fistula / Q000601:surgery*
chemical_list: D002045:Bupivacaine