Safety of Spinal Anesthesia in a Patient with Achondroplasia for Cesarean Section

Author(s): Hosni Mikhael, Nalini Vadivelu, Ferne Braveman

Journal Name: Current Drug Safety

Volume 6 , Issue 2 , 2011

Become EABM
Become Reviewer
Call for Editor


Controversial reports exist regarding the administration of spinal anesthesia in achondroplastic dwarfs regarding safety, dose, drug choice, in obstetric patients. Bony characteristics such as vertebral anomalies, lordosis and lumbar scoliosis, limited mouth opening and cervical spine instability make the administration of anesthesia to these patients truly a challenge. Here we demonstrate that low dose meperidine and bupivacaine spinal anesthesia in an achondroplastic parturient for ceserean section, was administered successfully after careful evaluation, consideration of risks, and awareness of potential complications.

Keywords: Achondroplasia, ceserean section, spinal anesthesia, bone deformities, lumbar lordosis, metochlopramide, Meperidine, bupivacaine

Rights & PermissionsPrintExport Cite as

Article Details

Year: 2011
Published on: 01 March, 2012
Page: [130 - 131]
Pages: 2
DOI: 10.2174/157488611795684668
Price: $65

Article Metrics

PDF: 15