Anaesthesia for Caesarean section in a patient with diastrophic dwarfism.
Diastrophic dwarfism is a rare disease in which pregnancy is uncommon. In this report we present a woman with diastrophic dwarfism who underwent caesarean section under epidural anaesthesia. Her care was successfully managed with multidisciplinary team planning. The total dose of local anaesthetic needed for epidural block was greater than the doses reported for achondroplastic dwarfism.
Porter
M
M
Department of Anaesthesia, University Hospitals Coventry and Warwickshire, Coventry, UK. mark.porter@uhcw.nhs.uk
Mendonca
C
C
D000328:Adult; D000402:Airway Obstruction / Q000150:complications; D000767:Anesthesia, Epidural / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D002585:Cesarean Section / Q000379:methods*; D004392:Dwarfism / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D007738:Kyphosis / Q000150:complications; D008279:Magnetic Resonance Imaging / Q000379:methods; D008991:Monitoring, Physiologic / Q000379:methods; D011014:Pneumonia / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications; D035583:Rare Diseases; D012131:Respiratory Insufficiency / Q000209:etiology; D013131:Spine / Q000473:pathology
D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D005283:Fentanyl; D002045:Bupivacaine