Medical and Clinical Case Reports
Open AccessAnesthetic Management for Cesarean Section in a Patient with Achondroplasia: Case Report and an Updated Review
Authors: Jadson Lardy Lemes, Larissa Cristelli de Sena, Iara Teixeira de Araújo, Maurício Vitor Machado Oliveira, Victor Toledo Guidarducci, Lais Mendes Viana, Matheus Heringer Gomes, Marina Ayres Delgado.
Abstract
Achondroplasia is a rare genetic disorder and the leading cause of dwarfism worldwide. Patients with achondroplasia often present with spinal abnormalities, respiratory and cardiac disorders, obstructive sleep apnea, and facial deformities. Cesarean section is commonly required due to cephalopelvic disproportion in these patients. However, the choice of anesthetic technique for cesarean sections in this population is controversial and should be based on a careful assessment of the risks and benefits of each approach. In this article, we present a case of a 39-year-old primiparous woman with achondroplasia who underwent a cesarean section under titrated epidural anesthesia. We also discuss other anesthetic techniques described in the literature, highlighting their advantages and limitations.
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