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

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

Volume: 6 Issue: 2

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

Affiliation:

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

Abstract: 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.

Cite this article as:

Mikhael Hosni, Vadivelu Nalini and Braveman Ferne, Safety of Spinal Anesthesia in a Patient with Achondroplasia for Cesarean Section, Current Drug Safety 2011; 6 (2) . https://dx.doi.org/10.2174/157488611795684668