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Title: Emergency caesarean section in a patient with myotonic dystrophy: a case of failed postoperative extubation in a patient with mild disease
Authors: Owen, Philip M
Chu, C.
Keywords: Obstetrics;Surgery;Anaesthetics;Anesthetics
Year: Mar-2011
Citation: Volume 39, Issue 2, pp. 293 -298
Abstract: A 21-year-old primiparous patient with subclinical myotonic dystrophy presented at a tertiary hospital at 38 weeks gestation in active labour, having previously been reviewed in the high-risk pregnancy clinic. A non-reassuring cardiotocogram and raised foetal scalp lactate necessitated an emergency caesarean section. On extubation following an otherwise unremarkable general anaesthetic, the patient required prompt re-intubation due to respiratory compromise, followed by a more gradual period of weaning from positive pressure ventilation. This review explores the implications of myotonic dystrophy for anaesthesia, discusses its multi-system involvement and highlights the difficulties in identifying at-risk patients in the perioperative setting.
ISSN: 0310-057x
DOI: 10.1177/0310057x1103900222
Journal Title: Anaesthesia and Intensive Care
Appears in Collections:Health Service Research

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