GENERAL-ANESTHESIA FOR CESAREAN-SECTION IN A PARTURIENT WITH NOONANS-SYNDROME

We describe the anaesthetic management of a parturient with Noonan's s yndrome. Her problems included severe cardiac disease, facial abnormal ities and extreme phobia to needles. After intrauterine death at 30 we eks' gestation, induction of labour was attempted and extradural analg esia initiated using low-dose bupivacaine. She failed to progress and underwent Caesarean section under general anaesthesia using awake oral fibreoptic intubation.