کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2757415 | 1567508 | 2016 | 4 صفحه PDF | دانلود رایگان |
• We discuss anesthesia for cesarean delivery in a patient with Freeman Sheldon syndrome.
• Difficulty with intubation and intravenous access has been reported.
• Malignant hyperthermia is a potential complication.
• Multidisciplinary cooperation is essential in managing these patients.
Freeman–Sheldon syndrome is a rare genetic disorder characterized by malformations of the face, oral cavity and musculoskeletal system. This case report describes the anesthetic management of a parturient with Freeman–Sheldon syndrome, kyphoscoliosis and a cardiac pacemaker for a cesarean delivery and tubal ligation. With a predicted difficult airway, our team decided to provide a combined spinal–epidural anesthetic. Problems encountered included difficult intravenous access, failure to identify the subarachnoid space and patient discomfort during surgery.
Journal: International Journal of Obstetric Anesthesia - Volume 27, August 2016, Pages 81–84