[Severe muscular dystrophy and pregnancy: interdisciplinary challenge]. / Schwere Muskeldystrophie und Schwangerschaft: Interdisziplinäre Herausforderung.
Anaesthesist
; 61(1): 52-5, 2012 Jan.
Article
em De
| MEDLINE
| ID: mdl-21909709
The muscular dystrophies are degenerative muscle diseases characterized by progressive muscle weakness. The vast majority of women suffering from muscle diseases develop a deterioration of symptoms during pregnancy. Cardiac and respiratory complications are observed in pregnant women with muscular dystrophy especially in the second and third trimester. The successful perioperative therapy of a 32-year-old pregnant tetraplegic woman with a severe limb-girdle type muscular dystrophy who underwent elective Caesarean section is reported. According to the literature epidural and spinal anesthesia are both possible for perioperative anesthetic management in women with limb-girdle dystrophies. Due to the excellent controllability of intrathecal hyperbaric bupivacaine it was decided to use spinal anesthesia and non-invasive positive pressure ventilation was planned in case of impairment of respiratory function. In summary limb-girdle muscular dysthrophies should be managed on an individual basis and spinal anesthesia can be safely used to avoid intubation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Anestesia Epidural
/
Anestesia Obstétrica
/
Raquianestesia
/
Distrofias Musculares
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Female
/
Humans
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Pregnancy
Idioma:
De
Revista:
Anaesthesist
Ano de publicação:
2012
Tipo de documento:
Article
País de publicação:
Alemanha