Anesthetic management for emergency cesarean delivery in parturient with achondroplasia – A case report and review of the literature

Youssef Motiaa; Wafae El Otmani; Zakaria Ouassou; Khalid Azizi

doi:10.4103/joacc.JOACC_18_19

CASE REPORT

Year : 2020 | Volume : 10 | Issue : 1 | Page : 54-57

Anesthetic management for emergency cesarean delivery in parturient with achondroplasia – A case report and review of the literature

Youssef Motiaa¹, Wafae El Otmani², Zakaria Ouassou³, Khalid Azizi⁴
¹ Anesthesia Unit, Mokhtar Soussi Hospital, Chtouka Aitbaha, Agadir; Anesthesiology and Intensive Care Department Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
² Anesthesiology and Intensive Care Department Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University; Department of Anaesthesiology and Critical Care, Mohamed V Military Hospital of Instruction, Rabat, Morocco
³ Anesthesiology and Intensive Care Department Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat; Anesthesia Unit, 20 August Hospital Azrou, Meknes, Morocco
⁴ Anesthesiology and Intensive Care Department Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat; Anesthesia Unit, Edderrak Hospital, Zagora, Morocco

Correspondence Address:
Dr. Youssef Motiaa
Department of Anesthesiology and Intensive Care, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat
Morocco

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/joacc.JOACC_18_19

Achondroplasia is a genetic disorder where there is underdevelopment and shortening of the long bones formed by endochondral ossification without abnormalities of cartilage formation. Patients with achondroplasia can exhibit various manifestations: spinal abnormalities; thorao-lumbar kyphoscoliosis, respiratory and cardiac abnormalities; obstructive sleep apnea; and changes of the head and the midface. In women with achondroplasia, cesarean delivery is inevitable because the pelvis is invariably small. Anesthetic management for cesarean section in this population is controversial; the choice of anesthetic technique depends on the benefits and risks of each technique. Emergency cesarean is another factor to consider for the choice of anesthetic technique. We report the case of a 34-year-old Moroccan primipara with achondroplasia who had a cesarean delivery under Spinal anesthesia. Other possible anaesthetic techniques used for cesarean sections in such patients are also discussed.

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