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Int J Crit Illn Inj Sci. 2019 Oct-Dec;9(4):191-193. doi: 10.4103/IJCIIS.IJCIIS_56_19. Epub 2019 Dec 11.

Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma.

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Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.


A 42-year-old pregnant female, diagnosed with achondroplasia, presented to our trauma center with multiple injuries after being involved in a motor vehicle accident. During her hospitalization, she underwent multiple surgeries and required admission in the intensive care unit. We describe the emergency anesthetic management of this patient, highlighting the effects of skeletal dysplasia on airway, cardiorespiratory system, and ventilatory mechanics. These effects, when superimposed upon with physiological changes of pregnancy, can lead to an unanticipated ventilatory challenge as we describe in this report.


Achondroplasia; anesthesia; pregnancy; trauma

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