Spinal anaesthesia for emergency Caesarean section in an achondroplastic patient

Difficulties with airway management, regional anaesthesia, altered anatomy and the well-documented anaesthetic risks of acid aspiration encountered during the third trimester of pregnancy can create a significant challenge to the anaesthesiologist whether regional or general anaesthesia is chosen [2-4]. [...] Ravenscroft and colleagues [6] used a subaracnoid injection of 1.3 mL hyperbaric 0.5% bupivacaine and 10 μg fentanyl for emergency Caesarean section in an African achondroplastic patient and De Renzo and colleagues [7] reported a failed spinal anaesthetic with 2 mL hyperbaric bupivacaine 0.5% and morphine 0.2 mg in a parturient with achondroplasia presenting for urgent Caesarean section.