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British Journal of Anaesthesia, 1988, Vol. 61, No. 3 350-354
© 1988 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

ANAESTHETIC MANAGEMENT OF CAESAREAN SECTION FOR A MOTHER WITH PRE-ECLAMPSIA, THE KLIPPEL-FEIL SYNDROME AND CONGENITAL HYDROCEPHALUS

A. M. BURNS, M.R.C.P, P. DORJE, M.B., B.S., E. G. LAWES, F.F.A.R.C.S. and M. S. NIELSEN, F.F.A.R.C.S

The Shackleton Department of Anaesthesia Southampton General Hospital, Tremona Road, Southampton SO9 4XY

Correspondence to A.M.B.

A mother with the Klippel-Feil syndrome, congenital hydrocephalus and increased intracranial pressure presented for delivery by Caesarean section at 33 weeks because of pre-eclampsia. Anaesthetic management comprised awake intubation using the fibreoptic bronchoscope, followed by induction and maintenance of general anaesthesia for the delivery of a live male infant. This case report describes the problems arising under these circumstances and the relative merits of different anaesthetic techniques.


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