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Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/921243

Title
Emergency caesarean section in a patient with myotonic dystrophy: a case of failed postoperative extubation in a patient with mild disease
Author/Creator
Owen, P. M.;  Chu, C.
Description
A 21-year-old primiparous patient with subclinical myotonic dystrophy presented at a tertiary hospital at 38 weeks gestation in active labour, having previously been reviewed in the high-risk pregnancy clinic. A non-reassuring cardiotocogram and raised foetal scalp lactate necessitated an emergency caesarean section. On extubation following an otherwise unremarkable general anaesthetic, the patient required prompt re-intubation due to respiratory compromise, followed by a more gradual period of weaning from positive pressure ventilation. This review explores the implications of myotonic dystrophy for anaesthesia, discusses its multi-system involvement and highlights the difficulties in identifying at-risk patients in the perioperative setting.
Relation
Anaesthesia and Intensive Care Vol. 39, Issue 2, p. 293-298
Relation
http://www.aaic.net.au/Document/?D=20090972
Date
2011
Publisher
Australian Society of Anaesthetists
Keyword(s)
myotonic dystrophy;  dystrophia myotonica;  anaesthesia;  obstetric;  emergency;  desflurane;  perioperative pulmonary complications
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/921243
Identifier
ISSN:0310-057X
Language
eng
Reviewed
Reviewed
 
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Subject
"Anaesthesia and Intensive Care"
 
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