Case Studies

Combined spinal and epidural anaesthesia for an elective Caesarean section in a patient with achondroplasia

Ambrose Rukewe, Imran Oludare Morhason-Bello, Akinola Fatiregun, Mathias Orji
Southern African Journal of Anaesthesia and Analgesia | Vol 18, No 6 | a591 | | © 2012 Ambrose Rukewe, Imran Oludare Morhason-Bello, Akinola Fatiregun, Mathias Orji | This work is licensed under CC Attribution 4.0
Submitted: 03 November 2025 | Published: 01 November 2012

About the author(s)

Ambrose Rukewe,, Nigeria
Imran Oludare Morhason-Bello,, Nigeria
Akinola Fatiregun,, Nigeria
Mathias Orji,, Nigeria

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Abstract

We describe the use of combined spinal and epidural anaesthesia in a 32-year-old parturient with achondroplasia who presented for an elective Caesarean section. A low-dose spinal block, using 5 mg 0.5% hyperbaric bupivacaine with 10 μg fentanyl, was inadequate (sensory loss up to T10). Sensory loss was extended by an epidural bolus of 5 ml 0.5 % isobaric bupivacaine to T6 within 15 minutes for surgery, which lasted 33 minutes. This titratable regional anaesthetic technique proved to be a viable option in the care of this patient.

Keywords

achondroplasia, anaesthesia, regional blocks, combined spinal epidural anaesthesia

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