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Colombian Journal of Anestesiology
versão impressa ISSN 0120-3347
Resumo
MORENO-GONZALES, Renato; VASQUEZ-ROJAS, Gunther e ROJAS FUN, Meiling. Anaesthetic management of a patient diagnosed with amyotrophic lateral sclerosis taken to caesarean section: Case report. Rev. colomb. anestesiol. [online]. 2017, vol.45, suppl.2, pp.86-89. ISSN 0120-3347.
Introduction:
In the obstetric population with amyotrophic lateral sclerosis, caesarean delivery may be indicated in order to avoid greater maternal respiratory distress induced by the physiologic changes at the end of gestation and the progressive muscle weakness caused by the disease. Optimal anaesthetic management is required in order to guarantee the ideal conditions for surgery and to preserve patient respiratory function.
Objective:
To describe the anaesthetic management of a patient diagnosed with amyotrophic lateral sclerosis scheduled for caesarean section.
Methods and results:
We describe the case of a 38-week pregnant woman diagnosed with amyotrophic lateral sclerosis who under went caesarean section under sequential combined spinal-epidural anaesthesia. In addition, a review of the literature was conducted.
Conclusions:
Combined spinal-epidural anaesthesia was a good option as anaesthetic technique for caesarean section in this patient with amyotrophic lateral sclerosis.
Palavras-chave : Amyotrophic lateral sclerosis; Motor neuron disease; Cesarean section; Anesthesia; Case report.