DR SHANTHI S (POST GRADUATE),DR RUBA VIKNESH (SENIOR RESIDENT),DR LATHA N (PROFESSOR) ,DR YACHENDRA (PROFESSOR),DR.J. BHUVANESWARRI
DOI: https://doi.org/Background: Achondroplasia presents unique anesthetic challenges in parturients due to difficult airway management, spinal deformities, and respiratory complications, necessitating careful planning for elective LSCS.[1][3].
Case Presentation: A 27-year-old primigravida with achondroplasia underwent elective LSCS at 38 weeks. Preoperative assessment identified a difficult airway and challenging neuraxial access.[4] Ultrasound-guided spinal marking was used to optimize needle placement, resulting in successful spinal anesthesia with 0.5% hyperbaric bupivacaine and fentanyl.[5]Intraoperative hypotension was managed with IV phenylephrine, and the recovery was uneventful with multimodal pain management.[2]
Discussion: Ultrasound-guided spinal anesthesia improves success rates in achondroplastic parturients by reducing the risk of failed blocks.[17] Proactive management of airway, hemodynamics, and respiratory function ensures safe outcomes.[14]
Conclusion: This case highlights the effectiveness of ultrasound-guided spinal anesthesia and the importance of individualized planning and multidisciplinary collaboration to achieve favorable maternal and fetal outcomes.[18][15]
