[Severe muscular dystrophy and pregnancy: interdisciplinary challenge].
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[Severe muscular dystrophy and pregnancy: interdisciplinary challenge]. / Von Breuning, Franziska; Goetz, Alwin E.; Heckel, Kai.
In: ANAESTHESIST, Vol. 61, No. 1, 1, 2012, p. 52-55.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [Severe muscular dystrophy and pregnancy: interdisciplinary challenge].
AU - Von Breuning, Franziska
AU - Goetz, Alwin E.
AU - Heckel, Kai
PY - 2012
Y1 - 2012
N2 - The muscular dystrophies are degenerative muscle diseases characterized by progressive muscle weakness. The vast majority of women suffering from muscle diseases develop a deterioration of symptoms during pregnancy. Cardiac and respiratory complications are observed in pregnant women with muscular dystrophy especially in the second and third trimester. The successful perioperative therapy of a 32-year-old pregnant tetraplegic woman with a severe limb-girdle type muscular dystrophy who underwent elective Caesarean section is reported. According to the literature epidural and spinal anesthesia are both possible for perioperative anesthetic management in women with limb-girdle dystrophies. Due to the excellent controllability of intrathecal hyperbaric bupivacaine it was decided to use spinal anesthesia and non-invasive positive pressure ventilation was planned in case of impairment of respiratory function. In summary limb-girdle muscular dysthrophies should be managed on an individual basis and spinal anesthesia can be safely used to avoid intubation.
AB - The muscular dystrophies are degenerative muscle diseases characterized by progressive muscle weakness. The vast majority of women suffering from muscle diseases develop a deterioration of symptoms during pregnancy. Cardiac and respiratory complications are observed in pregnant women with muscular dystrophy especially in the second and third trimester. The successful perioperative therapy of a 32-year-old pregnant tetraplegic woman with a severe limb-girdle type muscular dystrophy who underwent elective Caesarean section is reported. According to the literature epidural and spinal anesthesia are both possible for perioperative anesthetic management in women with limb-girdle dystrophies. Due to the excellent controllability of intrathecal hyperbaric bupivacaine it was decided to use spinal anesthesia and non-invasive positive pressure ventilation was planned in case of impairment of respiratory function. In summary limb-girdle muscular dysthrophies should be managed on an individual basis and spinal anesthesia can be safely used to avoid intubation.
KW - Adult
KW - Humans
KW - Female
KW - Patient Care Team
KW - Pregnancy
KW - Monitoring, Intraoperative
KW - Anesthetics, Local/administration & dosage
KW - Anesthesia, Epidural/methods
KW - Anesthesia, Obstetrical/methods
KW - Anesthesia, Spinal/methods
KW - Bupivacaine/administration & dosage
KW - Cesarean Section
KW - Injections, Spinal
KW - Intermittent Positive-Pressure Ventilation
KW - Muscular Dystrophies/complications/therapy
KW - Muscular Dystrophies, Limb-Girdle/therapy
KW - Pregnancy Complications/therapy
KW - Quadriplegia/etiology
KW - Adult
KW - Humans
KW - Female
KW - Patient Care Team
KW - Pregnancy
KW - Monitoring, Intraoperative
KW - Anesthetics, Local/administration & dosage
KW - Anesthesia, Epidural/methods
KW - Anesthesia, Obstetrical/methods
KW - Anesthesia, Spinal/methods
KW - Bupivacaine/administration & dosage
KW - Cesarean Section
KW - Injections, Spinal
KW - Intermittent Positive-Pressure Ventilation
KW - Muscular Dystrophies/complications/therapy
KW - Muscular Dystrophies, Limb-Girdle/therapy
KW - Pregnancy Complications/therapy
KW - Quadriplegia/etiology
M3 - SCORING: Zeitschriftenaufsatz
VL - 61
SP - 52
EP - 55
JO - ANAESTHESIST
JF - ANAESTHESIST
SN - 0003-2417
IS - 1
M1 - 1
ER -
