Anesthesia for cesarean section in a patient with spinal muscular atrophy.
We describe the anesthetic management for cesarean section and tubal ligation of a 23-year-old primipara with type II spinal muscular atrophy (benign Werdnig Hoffmann). She was wheelchair-bound, had severe restrictive lung disease, and severe kyphoscoliosis, with Harrington rods extending from the thoracic to the sacral spines. A general anesthetic was given. We used propofol and alfentanil for rapid-sequence induction of anesthesia. We did not use any muscle relaxants intraoperatively. Postoperative care was provided in the intensive care unit. The patient made a good recovery.
Habib
Ashraf S
AS
Department of Anesthesiology, Division of Women's Anesthesia, Duke University Medical Center, Durham, NC 27710, USA. habib001@mc.duke.edu
Helsley
Scott E
SE
Millar
Simon
S
Deballi
Pete
P
Muir
Holly A
HA
D000328:Adult; D015760:Alfentanil / Q000627:therapeutic use; D000768:Anesthesia, General / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000627:therapeutic use; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D008171:Lung Diseases; D009134:Muscular Atrophy, Spinal / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications; D015742:Propofol / Q000627:therapeutic use; D013246:Sterilization, Tubal / Q000379:methods
D018686:Anesthetics, Intravenous; D015760:Alfentanil; D015742:Propofol