Anesthesia & Clinical Research
Open Access

Nurcin Gulhas

Publications

• Case Report
  Successful Management of Ultrasound-Guided Combined Spinal-Epidural Anesthesia for Cesarean Section in a Patient with Achondroplasia
  Author(s): Gulay Erdogan Kayhan, Mukadder Sanli, Nurcin Gulhas and Mahmut Durmus Gulay Erdogan Kayhan, Mukadder Sanli, Nurcin Gulhas and Mahmut Durmus
  
  Anesthetic management of the pregnant achondroplastic patient for cesarean section poses significant challenges for anesthetists when coupled with anesthetic risks encountered during the third trimester of pregnancy. We report the case of a 25-year-old, 107 cm in height, and 37-week woman with achondroplasia who underwent neuraxial anesthesia for an elective cesarean section. Due to lumbar hyperlordosis and tissue edema, spinous processes could not be palpated and ultrasound probe was used to identify the vertebral interspace and also, the distance to the ligamentum flavum was measured. Accompanied by combined spinal-epidural (CSE) set, epidural space was located and a spinal needle was placed to the subarachnoid space. After 5 mg 0.5% hyperbaric bupivacaine with 10 μg fentanyl (total volume 1.2 mL) was injected to the subarachnoid space, the epidural catheter was advanced. A bilat.. View More»
  DOI: 10.4172/2155-6148.1000649

  Abstract PDF

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