Karnataka Anaesthesia Journal

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We are presenting the anaesthetic management of a hypochondroplastic dwarf pregnant patient with twin pregnancy and severe PIH for elective caesarean section under lumbar epidural anaesthesia. The block could be achieved successfully with six ml of bupivacaine with minimal haemodynamic effects. Sensory block reached upto T4 within 12 minutes with 6 ml. of 0.5 % bupivacaine, with stable haemodynamics and excellent intraoperative conditions. Twin neonates (one male and one female) were extracted successfully with normal APGAR scores. The different systemic and anaesthetic considerations and the anaesthetic management are discussed.

Keywords

Hypochondroplasia, Pregnancy/twin pregnancy, PIH, caesarean section, epidural anaesthesia, bupivacaine, APGAR
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