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Case Reports
Challenges in Obstetric Anesthesia in a Parturient With Native American Myopathy: A Case Report.
- Sean Mock, Joshua Jabaut, David Barra, Tiffany Angelo, and John Benjamin.
- From the Department of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, Maryland.
- A A Pract. 2021 Dec 10; 15 (12): e01541e01541.
AbstractNative American Myopathy (NAM) is an inherited, malignant hyperthermia-susceptible myopathy associated with abnormal craniofacial development and neuromuscular scoliosis. There is scant NAM anesthetic literature and, to our knowledge, no existing publications describing the anesthetic management of a NAM parturient. The constellation of symptoms of NAM in the parturient presents a number of challenges to the obstetric anesthesiologist, including difficult airway associated with craniofacial abnormalities and pregnancy, malignant hyperthermia susceptibility, and possible difficult neuraxial block. In this report, we present the anesthetic management of a parturient with NAM and previous extensive posterior spinal fusion undergoing cesarean delivery under general anesthesia.Copyright © 2021 International Anesthesia Research Society.
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