Combined spinal epidural anaesthesia for vesico-vaginal fistula repair in an achondroplastic dwarf.
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.
Trikha
A
A
Department of Anesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi.
Goyal
K
K
Sadera
G S
GS
Singh
M
M
D000130:Achondroplasia; D000328:Adult; D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal; D002045:Bupivacaine; D005260:Female; D006801:Humans; D014719:Vesicovaginal Fistula / Q000601:surgery*
D002045:Bupivacaine