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Labour management of a woman with carnitine palmitoyl transferase type 2 deficiency

P M Slater1, R Grivell, A M Cyna

  • 1Department ofAnaesthesia, Women's and Children's Hospital, North Adelaide, South Australia, Australia.

Anaesthesia and Intensive Care
|April 30, 2009
PubMed

Carnitine palmitoyl transferase (CPT) type 2 deficiency is a disorder of mitochondrial fatty acid oxidation. In situations where energy stores are inadequate, such as may occur during labour women with CPT type 2 deficiency are at risk of rhabdomyolysis. There is limited experience in the management of women with this condition in labour. We report a case of successful labour management of a woman with CPT type 2 deficiency, together with a brief review of the published case reports and a discussion of the issues surrounding anaesthetic management.

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