Open AccessEmergency anesthetic management of an achondroplastic elderly gravida with polytrauma
Author(s) -
Asha Tyagi,
Christopher Dass,
Nageswara Tangirala Rao,
Kapil Dev Soni
Publication year - 2019
Publication title -
international journal of critical illness and injury science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.274
H-Index - 12
eISSN - 2231-5004
pISSN - 2229-5151
DOI - 10.4103/ijciis.ijciis_56_19
Subject(s) - medicine , achondroplasia , cardiorespiratory fitness , airway management , polytrauma , airway , intensive care unit , vehicle accident , intensive care medicine , anesthesia , emergency medicine , pediatrics , surgery , physical therapy
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.