Assuntos
Sulfato de Magnésio/efeitos adversos , Erros de Medicação , Tocolíticos/efeitos adversos , Adulto , Cesárea , Overdose de Drogas , Feminino , Humanos , Sulfato de Magnésio/administração & dosagem , Pré-Eclâmpsia/tratamento farmacológico , Gravidez , Gestão de Riscos , Tocolíticos/administração & dosagemRESUMO
This report describes a 33-year-old primigravid woman with spinal muscular atrophy Type III (Kugelberg-Welander syndrome). Elective caesarean section was performed at 38 weeks gestation under spinal anaesthesia. The implications of spinal muscular atrophy for anaesthesia for caesarean section are described.
Assuntos
Raquianestesia , Cesárea , Atrofia Muscular Espinal , Complicações na Gravidez , Adulto , Feminino , Humanos , Recém-Nascido , Gravidez , Resultado da GravidezRESUMO
Bilateral lung volume reduction surgery was introduced into Australia in 1995 for treatment of selected patients with emphysema. We present our experience of the anaesthetic management of our first 55 cases and describe factors associated with outcome. There were four postoperative deaths (7%). Mean (SD) total operation time was 231 (72) minutes. Median intensive care unit (ICU) stay was 26 hours. There was a significant improvement in postoperative lung function (FEV1, VC, 6-minute walk test, all P < 0.001). Eight patients (15%) required reintubation for respiratory failure; three of these patients subsequently died. With multivariate analysis, total operation time was the only significant predictor of length of ICU stay R2 = 0.25, P = 0.001), which itself was the only significant predictor of hospital stay duration (R2 = 0.36, P < 0.001).