Is management of anesthesia in achondroplastic dwarfs really a challenge?

Journal of Clinical Anesthesia
P MonederoJ de los Rios

Abstract

To review our eight-year anesthetic experience with achondroplastic patients. Retrospective study. University hospital. 15 achondroplastic patients who underwent 53 surgical procedures of orthopedic surgery between 1987 and 1994. Anesthetic technique, drugs, number of incidents, and complications in the intraoperative and postoperative period were recorded. Adequate premedication before the transfer to the operating room was very useful to reduce anxiety and increase cooperation. Inhalation induction was well tolerated and allowed easy peripheral venous cannulation. Only one patient presented difficulties during intubation (on two occasions). In the other patients, we found small difficulties only during ventilation with a face mask, which was easily corrected by modifying the position of the patient and/or inserting an oropharyngeal airway. No adverse effect was identified for any particular anesthetic drug or technique used. Although the characteristic deformities of achondroplastic patients can impede the management of anesthesia, in our study we found no special difficulties. Airway complications did not occur. Thus, no specific optimal anesthetic regimen can be recommended.

References

Oct 1, 1990·Anesthesiology·I D BerkowitzS E Kopits
Mar 1, 1990·British Journal of Anaesthesia·G J Wardall, W T Frame
Sep 1, 1989·AJR. American Journal of Roentgenology·S C KaoE A Franken
Mar 1, 1986·Canadian Anaesthetists' Society Journal·J F MayhewI D Hall
Aug 1, 1986·Journal of Medical Genetics·I M OrioliJ G Barbosa-Neto
Aug 1, 1985·Anesthesiology·J Katz, J F Mayhew
Jan 1, 1986·British Journal of Anaesthesia·G N KallaM O Obiaya
Mar 1, 1984·The Journal of Pediatrics·R M PauliA Sommer
Feb 1, 1983·British Journal of Anaesthesia·H C Nichol, D Zuck
Apr 1, 1983·The Journal of Pediatrics·D C StokesD L Brown
Feb 1, 1995·The Journal of Clinical Investigation·R Hirschhorn
Jan 5, 1995·The New England Journal of Medicine·C A Francomano

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Citations

Mar 12, 2013·International Journal of Obstetric Anesthesia·J M WightA Combeer
Dec 30, 2015·Anesthesia, Essays and Researches·Ashutosh KaushalPaurush Ambesh
Apr 21, 2009·Revista brasileira de anestesiologia·Maria Angélica AbrãoJoão Régis Ivar Carneiro
May 24, 2016·Anesthesia, Essays and Researches·Ranjana KhetarpalJoginder Pal Attri
May 14, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Elizabeth M S LangeHeather C Nixon
Aug 2, 2017·American Journal of Medical Genetics. Part a·Klane K WhiteUNKNOWN Skeletal Dysplasia Management Consortium
Nov 24, 2007·European Journal of Anaesthesiology·M A PalomeroC Muriel

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