%0 Journal Article %T V¨ªa respiratoria dif¨ªcil en paciente obst¨¦trica acondropl¨¢sica %A Llanos Palmira %A Lisette Elena %A L¨®pez Rabasa %A Sahily Irene %A Fonseca Le¨®n %A Alejandro %A Gonz¨¢lez Rodr¨ªguez %A Gonzalo Santos %A D¨ªaz Rodr¨ªguez %A Jorge Humberto %J Revista Cubana de Anestesiolog£¿-a y Reanimaci£¿3n %D 2012 %I Scientific Electronic Library Online %X introduction: the achondroplasia is the commonest condition associated with a low height with a severe anatomical disproportion. the complications of the difficult airway are one of the more frequent cause of morbility and mortality including: macroglossia, an scarce buccal aperture, presence of a narrow trachea, limitation of cervical mobility, chronic pulmonary problems, small mandible with teeth crowding and a prominent chin. objective: to describe the anesthetic behavior of an obstetrics patient with achondroplasia and a difficult airway. clinical case: a female patient aged 20 diagnosed with achondroplasia and bronchial asthma. a twin pregnancy of 34 weeks avoiding her to walk, to stand up, respiratory difficulty and no tolerance of supine decubitus. she undergoes a cesarean section, approach of the difficult airway, intubation with a fastrach laryngeal mask, placement of the #6.0 endotracheal tube, appropriate controlled ventilation, use of non-depolarizing muscle relaxants, intraoperative hemodynamic stabilization, recovery. she was transferred to anesthesia recovery ward with complications, was discharged at 10 days of hospitalization. conclusions: the approach of the airway of patients with achondroplasia is an enigma for anesthesiologists, but the multidisciplinary discussion and the performance of action plan favored the good result of mother-fetus duo. %K achondroplasia %K difficult airway %K pregnancy. %U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1726-67182012000200009&lng=en&nrm=iso&tlng=en