Anesthesia for cesarean section in a patient with spinal muscular atrophy.

Abstract

We describe the anesthetic management for cesarean section and tubal ligation of a 23-year-old primipara with type II spinal muscular atrophy (benign Werdnig Hoffmann). She was wheelchair-bound, had severe restrictive lung disease, and severe kyphoscoliosis, with Harrington rods extending from the thoracic to the sacral spines. A general anesthetic was given. We used propofol and alfentanil for rapid-sequence induction of anesthesia. We did not use any muscle relaxants intraoperatively. Postoperative care was provided in the intensive care unit. The patient made a good recovery.

• Authors: Ashraf S Habib, Scott E Helsley, Simon Millar, Pete Deballi 3rd, Holly A Muir
• Journal: Journal of clinical anesthesia (J Clin Anesth) Vol. 16 Issue 3 Pg. 217-9 (May 2004) ISSN: 0952-8180 [Print] United States
• PMID: 15217664 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anesthetics, Intravenous
• Alfentanil
• Propofol

Topics

• Adult
• Alfentanil (therapeutic use)
• Anesthesia, General (methods)
• Anesthesia, Obstetrical (methods)
• Anesthetics, Intravenous (therapeutic use)
• Cesarean Section (methods)
• Female
• Humans
• Lung Diseases
• Muscular Atrophy, Spinal (complications)
• Pregnancy
• Pregnancy Complications
• Propofol (therapeutic use)
• Sterilization, Tubal (methods)