Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Gulay Erdogan Kayhan
Malatya
Turkey
Case Report
Successful Management of Ultrasound-Guided Combined Spinal-Epidural
Anesthesia for Cesarean Section in a Patient with Achondroplasia
Author(s): Gulay Erdogan Kayhan, Mukadder Sanli, Nurcin Gulhas and Mahmut DurmusGulay Erdogan Kayhan, Mukadder Sanli, Nurcin Gulhas and Mahmut Durmus
Anesthetic management of the pregnant achondroplastic patient for cesarean section poses significant challenges for anesthetists when coupled with anesthetic risks encountered during the third trimester of pregnancy. We report the case of a 25-year-old, 107 cm in height, and 37-week woman with achondroplasia who underwent neuraxial anesthesia for an elective cesarean section. Due to lumbar hyperlordosis and tissue edema, spinous processes could not be palpated and ultrasound probe was used to identify the vertebral interspace and also, the distance to the ligamentum flavum was measured. Accompanied by combined spinal-epidural (CSE) set, epidural space was located and a spinal needle was placed to the subarachnoid space. After 5 mg 0.5% hyperbaric bupivacaine with 10 μg fentanyl (total volume 1.2 mL) was injected to the subarachnoid space, the epidural catheter was advanced. A bilat.. View More»
DOI:
10.4172/2155-6148.1000649