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Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma

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 emerge...

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Autores principales: Tyagi, Abhay, Dass, Christopher, Rao, Nageswara Tangirala, Soni, Kapil Dev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927133/
https://www.ncbi.nlm.nih.gov/pubmed/31879607
http://dx.doi.org/10.4103/IJCIIS.IJCIIS_56_19
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author Tyagi, Abhay
Dass, Christopher
Rao, Nageswara Tangirala
Soni, Kapil Dev
author_facet Tyagi, Abhay
Dass, Christopher
Rao, Nageswara Tangirala
Soni, Kapil Dev
author_sort Tyagi, Abhay
collection PubMed
description 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.
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spelling pubmed-69271332019-12-26 Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma Tyagi, Abhay Dass, Christopher Rao, Nageswara Tangirala Soni, Kapil Dev Int J Crit Illn Inj Sci Case Report 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. Wolters Kluwer - Medknow 2019 2019-12-11 /pmc/articles/PMC6927133/ /pubmed/31879607 http://dx.doi.org/10.4103/IJCIIS.IJCIIS_56_19 Text en Copyright: © 2019 International Journal of Critical Illness and Injury Science http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Tyagi, Abhay
Dass, Christopher
Rao, Nageswara Tangirala
Soni, Kapil Dev
Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma
title Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma
title_full Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma
title_fullStr Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma
title_full_unstemmed Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma
title_short Emergency anesthetic management of an achondroplastic elderly gravida with polytrauma
title_sort emergency anesthetic management of an achondroplastic elderly gravida with polytrauma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927133/
https://www.ncbi.nlm.nih.gov/pubmed/31879607
http://dx.doi.org/10.4103/IJCIIS.IJCIIS_56_19
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