ArticleCureus2026
Perioperative Anesthetic Management for Bariatric Surgery in a Patient With Achondroplasia and Prior Limb-Lengthening: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
Achondroplasia presents significant anesthetic challenges that may be amplified by morbid obesity. A 29-year-old woman with achondroplasia and morbid obesity (body mass index 69.0 kg/m²) underwent bariatric surgery after prior lower-limb lengthening of 17 cm. Despite her increased height, she retained achondroplasia-related torso proportions and airway features. Standard ramped positioning was ineffective because of her disproportionately short torso. High-flow nasal oxygen was used to maintain oxygenation during prolonged airway management. After failed intubation with a standard videolaryngoscope blade, the airway was secured using a hyperangulated X-blade. Quantitative neuromuscular monitoring and sugammadex facilitated safe extubation. This case suggests that increased height after limb lengthening should not be assumed to indicate lower upper-airway risk in patients with achondroplasia. Perioperative planning should emphasize body proportions rather than standing height, and high-flow nasal oxygen and hyperangulated videolaryngoscopy may be useful airway strategies.
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