Anaesthetic management of a patient diagnosed with amyotrophic lateral sclerosis taken to caesarean section: Case report☆
| Autor: | Renato Moreno-Gonzales, Meiling Rojas Fun, Gunther Vásquez-Rojas |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Anaesthetic management
medicine.medical_specialty education.field_of_study Respiratory distress business.industry medicine.medical_treatment Caesarean delivery Population medicine.disease Critical Care and Intensive Care Medicine Surgery 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine 030202 anesthesiology Anesthesia medicine Gestation Caesarean section Respiratory function Amyotrophic lateral sclerosis business education 030217 neurology & neurosurgery |
| Zdroj: | Colombian Journal of Anesthesiology. 45:86-89 |
| ISSN: | 2256-2087 |
| DOI: | 10.1097/01819236-201712002-00015 |
| Popis: | Introduction In the obstetric population with amyotrophic lateral sclerosis, caesarean delivery may be indicated in order to avoid greater maternal respiratory distress induced by the physiologic changes at the end of gestation and the progressive muscle weakness caused by the disease. Optimal anaesthetic management is required in order to guarantee the ideal conditions for surgery and to preserve patient respiratory function. Objective To describe the anaesthetic management of a patient diagnosed with amyotrophic lateral sclerosis scheduled for caesarean section. Methods and results We describe the case of a 38-week pregnant woman diagnosed with amyotrophic lateral sclerosis who underwent caesarean section under sequential combined spinal-epidural anaesthesia. In addition, a review of the literature was conducted. Conclusions Combined spinal-epidural anaesthesia was a good option as anaesthetic technique for caesarean section in this patient with amyotrophic lateral sclerosis. |
| Databáze: | OpenAIRE |
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