Anaesthetic Managemment of Pregnant Hypochondroplastic Patient for Caesarean Section - A Case Report

Authors

  •   S. Bala Bhaskar D.N.B., Associate Professor, Dep. Of Anaesthesiology & Critical Care, Vijayanagar Institute of Medical Sciences (VIMS), Bellary
  •   G. V. Rao M.D., Assistant Professor, Dep. Of Anaesthesiology & Critical Care, Vijayanagar Institute of Medical Sciences (VIMS), Bellary
  •   Nagaraj Post Graduate, Dep. Of Anaesthesiology & Critical Care, Vijayanagar Institute of Medical Sciences (VIMS), Bellary
  •   A. Srinivasa Murthy M.D., Prof. and Head, Dep. Of Anaesthesiology & Critical Care, Vijayanagar Institute of Medical Sciences (VIMS), Bellary

Keywords:

Hypochondroplasia, Pregnancy/twin pregnancy, PIH, caesarean section, epidural anaesthesia, bupivacaine, APGAR

Abstract

We are presenting the anaesthetic management of a hypochondroplastic dwarf pregnant patient with twin pregnancy and severe PIH for elective caesarean section under lumbar epidural anaesthesia. The block could be achieved successfully with six ml of bupivacaine with minimal haemodynamic effects. Sensory block reached upto T4 within 12 minutes with 6 ml. of 0.5 % bupivacaine, with stable haemodynamics and excellent intraoperative conditions. Twin neonates (one male and one female) were extracted successfully with normal APGAR scores. The different systemic and anaesthetic considerations and the anaesthetic management are discussed.

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How to Cite

Bhaskar, S. B., Rao, G. V., Nagaraj, & Srinivasa Murthy, A. (2019). Anaesthetic Managemment of Pregnant Hypochondroplastic Patient for Caesarean Section - A Case Report. Karnataka Anaesthesia Journal, (2). Retrieved from http://karnatakaanesthesiajournal.in/index.php/kaj/article/view/139906

Issue

Section

Case Reports

References

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