Vía respiratoria difícil en paciente obstétrica acondroplásica

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.