Anesthetic Management of Parturients With Achondroplasia During Labor and Delivery: A Narrative Review
Authors' conclusion
Neuraxial anesthesia is more common and a viable option in carefully selected parturients with achondroplasia.
Study context
- Population
- Parturients with achondroplasia undergoing cesarean delivery57 manuscripts
- Participants
- 80 anesthetics
- Exposure
- Planned GA vs Single injection spinal vs Epidural vs CSE vs Intrathecal catheter
- Planned GAn = 16
- Single injection spinaln = 28
- Epiduraln = 17
- CSEn = 12
- Intrathecal cathetern = 1
- Outcome
- Anesthetic management for cesarean delivery
Methodological detailsliterature search of Embase, Medline, Scopus, Web of Science through January 2024
- Literature search of Embase, Medline, Scopus, Web of Science through January 2024
Main finding
As reported in the abstract
Conversion from neuraxial anesthesia to GA
6
Conversion due to failed neuraxial placement
3
Conversion due to inadequate blockade
2
Conversion due to high neuraxial block
1
Observational data: associations, not effects.
Safety
Complications during neuraxial technique
- Hypotension
- 4 in 64
- Inadvertent dural puncture
- 1 in 64
- Transient paresthesia
- 3 in 64
- Infrequent
Original publication
Anesthetic Management of Parturients With Achondroplasia During Labor and Delivery: A Narrative Review. Anesth Analg. Published 4 February 2025. doi:10.
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