A 20 year old female with Klippel Feil Syndrome was scheduled for emergency caesarian section during her 1st pregnancy. We present the successful anaesthetic management of this patient highlighting the various anomalies associated with Klippel Feil Syndrome and the presence of a difficult airway.

OBJECTIVE To estimate the ability of parents to recall the injuries of their children. DESIGN Comparison of parent recall with computerized medical records. SETTING A health maintenance organization in Washington State during 2003. SUBJECTS Parents of children younger than 6 years. MAIN OUTCOME MEASURES The ratio of recalled injuries to injuries in computerized data. RESULTS Telephone...

OBJECTIVES The relative merits of hub and spoke models of service delivery are often debated, but accessing data on how they may benefit service delivery can be difficult, and may hinder the adoption of a model which can benefit the health community. Our aim was to provide objective data that would either support or refute one potential benefit of service redesign, namely the effect on turnarou...

BACKGROUND Induction of labor (IOL) is a common practice in many parts of the world. However, the benefits and risks of preventive IOL for the mother and baby have yet to be critically assessed. This study is to investigate the effects of preventive IOL for non-urgent indications at term on maternal and neonatal outcomes. METHODS In this study, we applied a propensity score model to mimic a r...

OBJECTIVES To audit interval from decision to delivery in urgent caesarean section to determine whether the current standard of 30 minutes is achievable routinely; to determine whether delay leads to an excess of admissions to special care. DESIGN Three audit cycles over four years followed by a continuous audit over 32 months. SETTING Large district general hospital delivering 5500 women e...

Because of structural defects in achondroplasia, as one of the dwarfism types, the choice of an anaesthetic technique and management for caesarean delivery presents a challenge. We aimed to discuss our successful single-shot spinal anaesthesia approach for caesarean section for one urgent and one elective achondroplasic parturient based on the literature.