Open AccessFailed rapid sequence induction in an achondroplastic dwarf
Author(s) -
Jasleen Kaur,
Padmaja Durga,
Nirmala Jonnavithula,
Gopinath Ramachandran
Publication year - 2011
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.82691
Subject(s) - achondroplasia , medicine , rapid sequence induction , endochondral ossification , body weight , dwarfism , rocuronium , intubation , anesthesia , pediatrics , anatomy , cartilage , gene , biochemistry , chemistry
Achondroplasia, a common cause of short limbed type of dwarfism is due to quantitative decrease in rate of endochondral ossification. This abnormal bone growth leads to disproportionate body and head structure, thus placing them under high risk for anaesthetic management. There is paucity in literatures, regarding appropriate drug dosage selection in these patients. Use of drugs as per standard dosage recommendations based on body weight or body surface area, may not be adequate in these patients owing to discrepancies in overall body weight and lean body weight, especially during rapid sequence induction. Here, we report a case of failed rapid sequence induction due to abnormal response to administered drugs in an adult achondroplastic dwarf. Standard doses of thiopentone and rocuronium had to be repeated thrice to achieve adequate conditions for intubation.