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Anesthetic management of a parturient with spinal muscular atrophy type II

Giuseppe Maria Maruotti1, Rita Anfora, Emilio Scanni

  • 1High-Risk Pregnancy Center, Department of Gynaecology and Obstetrics, University Federico II, 80100 Naples, Italy.

Journal of Clinical Anesthesia
|September 25, 2012
PubMed

In the past, pregnancy was contraindicated in patients with spinal muscular atrophy. Recently, more cases are occurring because of improvement in survival and functional status. The goals for anesthetic management of these patients include satisfactory anesthesia during surgery and excellent postoperative analgesia with minimal compromise of respiratory function. Spinal anesthesia may be considered contraindicated due to spinal deformities, but successful spinal anesthesia was performed in a 37 year old parturient following magnetic resonance imaging of the spine.

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