Total intravenous anesthesia without muscle relaxant in a parturient with amyotrophic lateral sclerosis undergoing cesarean section: A case report.
Cases of amyotrophic lateral sclerosis with pregnancy are quite rare. The aim of this case report is to present the successful use of total intravenous anesthesia without muscle relaxant for cesarean section in a parturient with amyotrophic lateral sclerosis at 35 weeks' gestation. The parturient presented with impaired neuromuscular function. Titrated general anesthesia with short-acting anesthetics was applied. During the procedure, no muscle relaxant was used. This strategy helped avoid prolonged ventilation and prevent maternal respiratory complications.
Department of Anesthesiology, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China. Electronic address: kitten15@126.com.
Wei
W
Xiao
Department of Anesthesiology, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China. Electronic address: zhaoalei@sina.com.
Lei
L
Zhao
Department of Obstetrics and Gynecology, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China. Electronic address: wfy1204@hotmail.com.
Fengying
F
Wang
Department of Anesthesiology, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China. Electronic address: sunhong8789@163.com.
Hong
H
Sun
Department of Anesthesiology, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China. Electronic address: w_tl5595@hotmail.com.
Tianlong
T
Wang
Department of Neurosurgery, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China. Electronic address: ggzhao@vip.sina.com.
Guoguang
G
Zhao
D000328:Adult; D000690:Amyotrophic Lateral Sclerosis / Q000150:complications*; D000771:Anesthesia, Intravenous / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D018686:Anesthetics, Intravenous; D002585:Cesarean Section / Q000379:methods*; D000075202:Contraindications; D005260:Female; D006801:Humans; D009465:Neuromuscular Agents; D011247:Pregnancy; D011248:Pregnancy Complications
D018686:Anesthetics, Intravenous; D009465:Neuromuscular Agents
Amyotrophic lateral sclerosis; Cesarean section; General anesthesia; Parturient