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Anesthetic considerations in a parturient with Freeman-Sheldon syndrome
K Fisher1, F Qasem1, P Armstrong1
1Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre, London, Ontario, Canada.
Abstract:
Freeman-Sheldon syndrome is a rare genetic disorder characterized by malformations of the face, oral cavity and musculoskeletal system. This case report describes the anesthetic management of a parturient with Freeman-Sheldon syndrome, kyphoscoliosis and a cardiac pacemaker for a cesarean delivery and tubal ligation. With a predicted difficult airway, our team decided to provide a combined spinal-epidural anesthetic. Problems encountered included difficult intravenous access, failure to identify the subarachnoid space and patient discomfort during surgery.
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