Safety of spinal anesthesia in a patient with achondroplasia for cesarean section.

Hosni Mikhael, Nalini Vadivelu, Ferne Braveman

Department of Anesthesiology, Yale University, 333 Cedar Street, New Haven, CT 06510, USA.

Current drug safety 2011 Apr

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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 cesarean section, was administered successfully after careful evaluation, consideration of risks, and awareness of potential complications.

Citation

Hosni Mikhael, Nalini Vadivelu, Ferne Braveman. Safety of spinal anesthesia in a patient with achondroplasia for cesarean section. Current drug safety. 2011 Apr;6(2):130-1