1. Pre-emptive awake airway management under dexmedetomidine sedation in a parturient with spinal muscular atrophy type-2.
- Author
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Godlewski CA and Castellanos PF
- Subjects
- Adult, Cesarean Section, Emergency Medical Services, Fatal Outcome, Female, Humans, Muscle Weakness etiology, Muscle Weakness therapy, Pregnancy, Spinal Muscular Atrophies of Childhood therapy, Tracheostomy, Airway Management methods, Conscious Sedation methods, Dexmedetomidine, Hypnotics and Sedatives, Pregnancy Complications therapy, Spinal Muscular Atrophies of Childhood complications
- Abstract
Historically, pregnancy in females with spinal muscular atrophy was contraindicated due to the great risk to the parturient, but with improved management and increased survival more patients are becoming pregnant. We describe the management of a pregnant patient with spinal muscular atrophy type-2, who had severe restrictive lung disease, extensive spinal fusion that precluded neuraxial anesthesia, and chronic respiratory failure on nocturnal Bilevel Positive Airway Pressure. Airway management was further complicated by limited mouth opening and cervical spine ankylosis., (Copyright © 2017 Elsevier Ltd. All rights reserved.) more...
- Published
- 2018
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