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Anesthetic considerations in a parturient with congenital insensitivity to pain with anhidrosis.

Abstract
Congenital insensitivity to pain is a rare autosomal recessive disease characterized by varying degrees of autonomic dysfunction and sensory loss, including nociceptive hyposensitivity. It is this autonomic dysfunction that makes both general and neuraxial anesthesia challenging. Testing the block during neuraxial anesthesia may be difficult and the patient may be prone to hypotension and bradycardia. This case report describes the anesthetic management of a parturient with congenital insensitivity to pain presenting for cesarean delivery.
AuthorsZ Pirani, F Qasem, S Katsiris
JournalInternational journal of obstetric anesthesia (Int J Obstet Anesth) Vol. 29 Pg. 70-72 (Feb 2017) ISSN: 1532-3374 [Electronic] Netherlands
PMID27884666 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2016 Elsevier Ltd. All rights reserved.
Topics
  • Adult
  • Anesthesia, Obstetrical (methods)
  • Anesthesia, Spinal (methods)
  • Cesarean Section
  • Female
  • Hereditary Sensory and Autonomic Neuropathies (complications)
  • Humans
  • Pregnancy
  • Pregnancy Complications

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