Anesthetic management of pregnant women with skeletal dysplasia and short stature: a case report

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-03-01 DOI:10.1016/j.redare.2024.101625

Á. Barranco de Santiago, Á. Alandes-Gallego, I. García-Rojas, B. Tena, M. Magaldi

{"title":"Anesthetic management of pregnant women with skeletal dysplasia and short stature: a case report","authors":"Á. Barranco de Santiago, Á. Alandes-Gallego, I. García-Rojas, B. Tena, M. Magaldi","doi":"10.1016/j.redare.2024.101625","DOIUrl":null,"url":null,"abstract":"<div><div>Skeletal dysplasias and short stature are a heterogeneous group of pathologies in which achondroplasia is the most common presentation. The presence of bone deformities leads to thoracic and airway changes that can complicate ventilation and airway management. Most individuals with skeletal dysplasia present spinal abnormalities that increase the difficulty of administering neuraxial anaesthesia. In pregnant patients, physiological and anatomical changes further complicate obstetric and anaesthesia management.</div><div>We report the case of a patient with skeletal dysplasia and short stature who was admitted to our hospital in week 34.3 of her pregnancy due to labour and respiratory difficulties. It was decided to perform an emergency caesarean section due to the disproportionate size of the foetal head with respect to the pelvis. We also review the different anaesthesia techniques described in the literature, and discuss their potential advantages and difficulties.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 3","pages":"Article 101625"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista espanola de anestesiologia y reanimacion","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2341192924001616","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Skeletal dysplasias and short stature are a heterogeneous group of pathologies in which achondroplasia is the most common presentation. The presence of bone deformities leads to thoracic and airway changes that can complicate ventilation and airway management. Most individuals with skeletal dysplasia present spinal abnormalities that increase the difficulty of administering neuraxial anaesthesia. In pregnant patients, physiological and anatomical changes further complicate obstetric and anaesthesia management.

We report the case of a patient with skeletal dysplasia and short stature who was admitted to our hospital in week 34.3 of her pregnancy due to labour and respiratory difficulties. It was decided to perform an emergency caesarean section due to the disproportionate size of the foetal head with respect to the pelvis. We also review the different anaesthesia techniques described in the literature, and discuss their potential advantages and difficulties.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

孕妇骨骼发育不良和身材矮小的麻醉处理：1例报告。

骨骼发育不良和身材矮小是一组异质性的病理，其中软骨发育不全是最常见的表现。骨畸形的存在导致胸腔和气道改变，使通气和气道管理复杂化。大多数患有骨骼发育不良的个体存在脊柱异常，这增加了给予轴向麻醉的难度。在妊娠患者中，生理和解剖的变化进一步使产科和麻醉管理复杂化。我们报告一例患有骨骼发育不良和身材矮小的患者，在怀孕第34.3周因分娩和呼吸困难而入院。由于胎儿头部与骨盆不成比例，决定进行紧急剖腹产手术。我们还回顾了文献中描述的不同麻醉技术，并讨论了它们潜在的优势和困难。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Revista espanola de anestesiologia y reanimacion

自引率

0.00%

发文量