[Anesthesia for cesarean section in a patient with Lobstein's syndrome].
We report on a 21-year-old woman with a severe form of Lobstein's syndrome, who underwent a Cesarean section. The following issues are discussed: the risk of sustaining fractures during positioning, fractures by automatic blood pressure measurement, an almost always existing latex allergy, a susceptibility for malignant hyperthermia, potential cardiac defect, difficult endotracheal intubation, lowering of the conus medullaris to an area usually used for spinal puncture, severe spinal deformities resulting in difficult puncture, hemorrhagic diathesis, and unpredictability of the expansion of local anesthetics in the vertebral canal. In this case the procedure could be carried out in spinal anesthesia without encountering major problems.
Rudlof
B
B
Zentralinstitut für Anästhesie, Kliniken St. Antonius, Vogelsangstrasse 106, 42109 Wuppertal. Abtanae@aol.com
Scheel
G
G
Jacquet
M
M
D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D001794:Blood Pressure / Q000502:physiology; D002585:Cesarean Section; D005260:Female; D050723:Fractures, Bone / Q000517:prevention & control; D006333:Heart Failure / Q000150:complications; D006801:Humans; D020315:Latex Hypersensitivity / Q000150:complications; D008305:Malignant Hyperthermia / Q000150:complications; D010013:Osteogenesis Imperfecta / Q000150:complications / Q000503:physiopathology*; D011247:Pregnancy