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Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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Pre-emptive awake airway management under dexmedetomidine sedation in a parturient with spinal muscular atrophy

C A Godlewski1, P F Castellanos2

  • 1University of Alabama, Birmingham Medical Center, Department of Anesthesiology and Perioperative Medicine, Birmingham, AL, USA.

International Journal of Obstetric Anesthesia
|January 7, 2018
PubMed

Historically, pregnancy in females with spinal muscular atrophy was contraindicated due to the great risk to the parturient, but with improved management and increased survival more patients are becoming pregnant. We describe the management of a pregnant patient with spinal muscular atrophy type-2, who had severe restrictive lung disease, extensive spinal fusion that precluded neuraxial anesthesia, and chronic respiratory failure on nocturnal Bilevel Positive Airway Pressure. Airway management was further complicated by limited mouth opening and cervical spine ankylosis.

Keywords:
AirwayDexmedetomidineSpinal muscular atrophy

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