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Failed regional anesthesia with reduced spinal bupivacaine dosage in a parturient with achondroplasia presenting for urgent cesarean section.
Int J Obstet Anesth. 2005 Apr; 14(2):175-8.IJ

Abstract

A 36-year-old patient with a history of previous back surgery, asthma, latex allergy and achondroplasia presented for urgent cesarean delivery at 31 weeks' gestation for worsening nonimmune fetal hydrops. The fetus was diagnosed with trisomy 21 and achondroplasia. Because of the urgent clinical situation, the patient was given a spinal anesthetic, which required supplemental intravenous sedation after delivery of the fetus. This case report discusses the controversies in anesthetic management of this complicated patient and compromised fetus regarding general anesthesia, epidural, spinal and combined spinal-epidural anesthesia.

Authors+Show Affiliations

Department of Anesthesiology, Magee-Women's Hospital, University of Pittsburgh School of Medicine, PA 15213, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15795154

Citation

DeRenzo, J S., et al. "Failed Regional Anesthesia With Reduced Spinal Bupivacaine Dosage in a Parturient With Achondroplasia Presenting for Urgent Cesarean Section." International Journal of Obstetric Anesthesia, vol. 14, no. 2, 2005, pp. 175-8.
DeRenzo JS, Vallejo MC, Ramanathan S. Failed regional anesthesia with reduced spinal bupivacaine dosage in a parturient with achondroplasia presenting for urgent cesarean section. Int J Obstet Anesth. 2005;14(2):175-8.
DeRenzo, J. S., Vallejo, M. C., & Ramanathan, S. (2005). Failed regional anesthesia with reduced spinal bupivacaine dosage in a parturient with achondroplasia presenting for urgent cesarean section. International Journal of Obstetric Anesthesia, 14(2), 175-8.
DeRenzo JS, Vallejo MC, Ramanathan S. Failed Regional Anesthesia With Reduced Spinal Bupivacaine Dosage in a Parturient With Achondroplasia Presenting for Urgent Cesarean Section. Int J Obstet Anesth. 2005;14(2):175-8. PubMed PMID: 15795154.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Failed regional anesthesia with reduced spinal bupivacaine dosage in a parturient with achondroplasia presenting for urgent cesarean section. AU - DeRenzo,J S, AU - Vallejo,M C, AU - Ramanathan,S, PY - 2004/06/01/received PY - 2004/08/01/revised PY - 2004/09/01/accepted PY - 2005/3/30/pubmed PY - 2005/7/15/medline PY - 2005/3/30/entrez SP - 175 EP - 8 JF - International journal of obstetric anesthesia JO - Int J Obstet Anesth VL - 14 IS - 2 N2 - A 36-year-old patient with a history of previous back surgery, asthma, latex allergy and achondroplasia presented for urgent cesarean delivery at 31 weeks' gestation for worsening nonimmune fetal hydrops. The fetus was diagnosed with trisomy 21 and achondroplasia. Because of the urgent clinical situation, the patient was given a spinal anesthetic, which required supplemental intravenous sedation after delivery of the fetus. This case report discusses the controversies in anesthetic management of this complicated patient and compromised fetus regarding general anesthesia, epidural, spinal and combined spinal-epidural anesthesia. SN - 0959-289X UR - https://www.unboundmedicine.com/medline/citation/15795154/Failed_regional_anesthesia_with_reduced_spinal_bupivacaine_dosage_in_a_parturient_with_achondroplasia_presenting_for_urgent_cesarean_section_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0959-289X(04)00173-6 DB - PRIME DP - Unbound Medicine ER -