Continuous spinal anesthesia for cesarean delivery in a patient with arthrogryposis multiplex congenita. A clinical report.
OBJECTIVE
Arthrogryposis multiplex congenita (AMC) is a syndrome, diagnosed at birth, which presents with multiple joint contractures. Because this disease often progresses until there is dysfunction of multiple organ systems, it may have an impact on the anesthetic management. There are few anesthetic reports of this disease in the adult pregnant patient.


METHODS
A patient with AMC who underwent elective cesarean delivery with continuous subarachnoid bupivacaine anesthesia.


RESULTS
The patient delivered a healthy infant and recovered uneventfully from the anesthetic with no postoperative complications.


CONCLUSIONS
Continuous spinal anesthesia can be safely used for cesarean delivery in patients with AMC in the presence of appropriate monitoring.
St. Luke's-Roosevelt Hospital Center, College of Physicians and Surgeons of Columbia University, New York, New York 10019, USA.
A
A
Rozkowski
D
D
Smyczek
D J
DJ
Birnbach
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D001176:Arthrogryposis / Q000503:physiopathology*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*