• J Clin Anesth · May 2004

    Case Reports

    Anesthesia for cesarean section in a patient with spinal muscular atrophy.

    • Ashraf S Habib, Scott E Helsley, Simon Millar, Pete Deballi, and Holly A Muir.
    • Department of Anesthesiology, Division of Women's Anesthesia, Duke University Medical Center, Durham, NC 27710, USA. habib001@mc.duke.edu
    • J Clin Anesth. 2004 May 1;16(3):217-9.

    AbstractWe describe the anesthetic management for cesarean section and tubal ligation of a 23-year-old primipara with type II spinal muscular atrophy (benign Werdnig Hoffmann). She was wheelchair-bound, had severe restrictive lung disease, and severe kyphoscoliosis, with Harrington rods extending from the thoracic to the sacral spines. A general anesthetic was given. We used propofol and alfentanil for rapid-sequence induction of anesthesia. We did not use any muscle relaxants intraoperatively. Postoperative care was provided in the intensive care unit. The patient made a good recovery.

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