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https://hdl.handle.net/1/1671
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. | Issue Date: | Mar-2011 | Source: | Volume 39, Issue 2, pp. 293 -298 | Journal title: | Anaesthesia and Intensive Care | Department: | Obstetrics & Gynaecology | 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. | URI: | https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1671 | DOI: | 10.1177/0310057x1103900222 | Pubmed: | https://www.ncbi.nlm.nih.gov/pubmed/21485681 | ISSN: | 0310-057x | Publicaton type: | Journal Article | Keywords: | Obstetrics Surgery Anaesthetics Anesthetics |
Study or Trial: | Case Series and Case Reports |
Appears in Collections: | Health Service Research |
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