Resumo

OSORIO RUDAS, Walter et al. Anesthesia for cesarean section in a patient with achondroplasia. Rev. colomb. anestesiol. [online]. 2012, vol.40, n.4, pp.309-312. ISSN 0120-3347.  https://doi.org/10.1016/j.rca.2012.07.002.

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 achondroplasia. 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.

Palavras-chave : Anesthesia; Obstetrical anesthesia; Cesarean section; Achondroplasia.

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