Anesthetic Management of a Parturient with Thalidomide Phocomelia

Autor:	Samuel N. Blacker, Tiffany E. Angelo
Rok vydání:	2012
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry Magnetic resonance imaging Phocomelia medicine.disease HIV Wasting Syndrome Surgery Thalidomide Lumbar Anesthetic medicine business Stomatitis Multiple myeloma medicine.drug
Zdroj:	Open Journal of Anesthesiology. :59-61
ISSN:	2164-5558 2164-5531
DOI:	10.4236/ojanes.2012.23014
Popis:	The teratogenicity of thalidomide has been known since the early 1960s [1]. Thalidomide is currently used world wide, including the United States, to treat erythema nodosum leprosum, multiple myeloma, refractory Crohn’s disease, aphthous stomatitis and HIV wasting syndrome. New cases of thalidomide phocomelia are being reported as well. We report a case of the anesthetic challenges of a 23 year-old parturient with thalidomide phocomelia and review the important anesthetic challenges it presents. Spontaneous vaginal delivery under continuous lumbar epidural was achieved in this challenging patient. However, it required careful planning for reliable intravenous access and the use of magnetic resonance imaging (MRI) of her pelvis and lumbar spine.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::160d335a7b9357bd45e9cadac4a1cd76 https://doi.org/10.4236/ojanes.2012.23014 Zobrazit plný text záznamu