title: Anesthetic management for cesarean delivery in a pregnant woman with polymyositis: A case report and review of literature.
abstract: BACKGROUND
  Polymyositis which is a rare disease both in general population and in pregnancy is systemic connective tissue disorder characterized by inflammation and degeneration of muscles. There is only a little information relating to the anesthetic management of a pregnant woman with polymyositis.
  
  
  METHODS
  In this article, we present anesthetic management of urgent cesarean delivery of a 28-year-old parturient with polymyositis under epidural anesthesia who was diagnosed with polymyositis five years ago and has been treated regularly with different doses prednisolone since then.
  
  
  CONCLUSIONS
  In a parturient with polymyositis, it should not be suggested general anesthesia due to risks including delayed recovery from muscle relaxation, aspiration pneumonitis, arrhythmias, cardiac failure, we consider that epidural anesthesia for cesarean section can be safely applied.
authors.affiliation: Department of Anesthesiology and Reanimation, Ege University Faculty of Medicine, Izmir, Turkey.
authors.forename: Ilkben
authors.initials: I
authors.lastname: Gunusen
authors.forename: Semra
authors.initials: S
authors.lastname: Karaman
authors.forename: Seymen
authors.initials: S
authors.lastname: Nemli
authors.forename: Vicdan
authors.initials: V
authors.lastname: Firat