- Title
- Emergency caesarean section in a patient with myotonic dystrophy: a case of failed postoperative extubation in a patient with mild disease
- Creator
- Owen, P. M.; Chu, C.
- Relation
- Anaesthesia and Intensive Care Vol. 39, Issue 2, p. 293-298
- Relation
- http://www.aaic.net.au/Document/?D=20090972
- Publisher
- Australian Society of Anaesthetists
- Resource Type
- journal article
- Date
- 2011
- 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.
- Subject
- myotonic dystrophy; dystrophia myotonica; anaesthesia; obstetric; emergency; desflurane; perioperative pulmonary complications
- Identifier
- http://hdl.handle.net/1959.13/921243
- Identifier
- uon:9273
- Identifier
- ISSN:0310-057X
- Language
- eng
- Full Text
- Reviewed
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT01 | Publisher version (open access) | 137 KB | Adobe Acrobat PDF | View Details Download |