Title: Pregnancy with Short Stature - Challenges for Anesthesiologist to estimate dose of Hyperbaric Bupivacaine and manage Physiological Changes during cesarean section: A Case Series
Authors: Dr Vipan Garg, Dr Anju Bala, Dr Mohit Bajaj, Dr Swati Mahajan
DOI: https://dx.doi.org/10.18535/jmscr/v8i5.10
Abstract
Short stature female presenting for lower segment cesarean section poses a clinical challenge to anesthesiologists. There can be 100 of causes of short stature, out of which major one is achondroplasia. There is risk for regional as well as general anesthesia in such patients like airway complications, difficulty in dose estimation of hyperbaric bupivacaine, risk of high spinal, failure of neuraxial block due to spinal deformities and spinal canal stenosis. All these risks lead to controversies in choosing type of anesthesia and dose of spinal bupivacaine. Here we present a case series of three patients who underwent cesarean sections under Spinal Anesthesia. The most important point is the careful perioperative management.
Keywords: Short stature, Hyperbaric Bupivacaine, Spinal Anesthesia.
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