ANAESTHETIC MANAGEMENT OF A PARTURIENT WITH ACHONDROPLASIA UNDERGOING ELECTIVE LOWER SEGMENT CAESAREAN SECTION (LSCS) - A CASE REPORT

Authors

  • DR SHANTHI S (POST GRADUATE) DEPARTMENT OF ANESTHESIOLOGY, SAVEETHA MEDICAL COLLEGE AND HOSPITALS,SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCES, SAVEETHA UNIVERSITY, CHENNAI - 602105, TAMIL NADU, INDIA
  • DR RUBA VIKNESH (SENIOR RESIDENT) DEPARTMENT OF ANESTHESIOLOGY, SAVEETHA MEDICAL COLLEGE AND HOSPITALS,SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCES, SAVEETHA UNIVERSITY, CHENNAI - 602105, TAMIL NADU, INDIA
  • DR LATHA N (PROFESSOR) DEPARTMENT OF ANESTHESIOLOGY, SAVEETHA MEDICAL COLLEGE AND HOSPITALS,SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCES, SAVEETHA UNIVERSITY, CHENNAI - 602105, TAMIL NADU, INDIA
  • DR YACHENDRA (PROFESSOR) DEPARTMENT OF ANESTHESIOLOGY, SAVEETHA MEDICAL COLLEGE AND HOSPITALS,SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCES, SAVEETHA UNIVERSITY, CHENNAI - 602105, TAMIL NADU, INDIA
  • DR.J. BHUVANESWARRI PROFESSOR, DEPARTMENT OF PERIODONTOLOGY, SREE BALAJI DENTAL COLLEGE & HOSPITAL, CHENNAI, INDIA

Keywords:

Achondroplasia, spinal anesthesia, ultrasound guidance, cesarean section, difficult airway.

Abstract

Background: Achondroplasia presents unique anesthetic challenges in parturients due to difficult airway management, spinal deformities, and respiratory complications, necessitating careful planning for elective LSCS.[1][3].

Case Presentation: A 27-year-old primigravida with achondroplasia underwent elective LSCS at 38 weeks. Preoperative assessment identified a difficult airway and challenging neuraxial access.[4] Ultrasound-guided spinal marking was used to optimize needle placement, resulting in successful spinal anesthesia with 0.5% hyperbaric bupivacaine and fentanyl.[5]Intraoperative hypotension was managed with IV phenylephrine, and the recovery was uneventful with multimodal pain management.[2]

Discussion: Ultrasound-guided spinal anesthesia improves success rates in achondroplastic parturients by reducing the risk of failed blocks.[17] Proactive management of airway, hemodynamics, and respiratory function ensures safe outcomes.[14]

Conclusion: This case highlights the effectiveness of ultrasound-guided spinal anesthesia and the importance of individualized planning and multidisciplinary collaboration to achieve favorable maternal and fetal outcomes.[18][15]

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How to Cite

(POST GRADUATE), D. S. S., (SENIOR RESIDENT), D. R. V., (PROFESSOR) , D. L. N., (PROFESSOR), D. Y., & BHUVANESWARRI, D. (2025). ANAESTHETIC MANAGEMENT OF A PARTURIENT WITH ACHONDROPLASIA UNDERGOING ELECTIVE LOWER SEGMENT CAESAREAN SECTION (LSCS) - A CASE REPORT. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 32(S1 (2025): Posted 12 May), 301–304. Retrieved from https://tpmap.org/submission/index.php/tpm/article/view/166

Issue

Vol. 32 No. S1 (2025): Posted 12 May (2025): Posted: 12 May 2025

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Articles

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