Anesthesia & Clinical Research
Open Access

Richard Smiley

Publications

• Case Report
  A Combined Spinal Epidural Anesthetic (CSE) for Cesarean Section in a Patient with Achondroplasia. Can MRI be Helpful?
  Author(s): Antonio Gonzalez Fiol, Mark Escudero, Sherelle Laifer-Narin and Richard Smiley Antonio Gonzalez Fiol, Mark Escudero, Sherelle Laifer-Narin and Richard Smiley
  
  The anatomic features of achondroplastic patients pose many challenges for anesthesiologists. The achondroplastic parturient has a high likelihood of delivery by cesarean section due to cephalopelvic disproportion. Hence, anesthesiologist involvement is crucial. It is not uncommon for these patients to have a narrow spinal canal and areas of spinal stenosis. These features might prove a challenge for a neuraxial technique and potentially result in unpredictable spread of local anesthetic. We present a case in which an abnormal Magnetic Resonance Imaging (MRI) was used to tailor the anesthetic plan for an achondroplastic parturient and possibly explain some of our intraoperative observations. .. View More»
  DOI: 10.4172/2155-6148.1000496

  Abstract PDF

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