Caesarean section in a patient with low serum cholinesterase activity following plasmapheresis. A case report and review.
Plasmapheresis has been used in the control of rhesus incompatibility in pregnancy, resulting in a marked reduction in serum cholinesterase activity. A number of these patients will subsequently require anaesthesia and hence be at risk from suxamethonium sensitivity. A caesarean section was performed on a 26-year-old patient with this condition. The pre-operative preparation and anaesthetic management are presented and the specific problems discussed.
D000328:Adult; D000773:Anesthesia, Obstetrical; D001787:Blood Group Incompatibility / Q000201:enzymology* / Q000628:therapy; D002585:Cesarean Section; D002802:Cholinesterases / Q000097:blood*; D005260:Female; D006801:Humans; D010956:Plasmapheresis; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000201:enzymology* / Q000628:therapy; D012204:Rh-Hr Blood-Group System
D012204:Rh-Hr Blood-Group System; D002802:Cholinesterases