Anesthetic considerations in a parturient with

Int J Obstet Anesth · Aug 2016

Case Reports

Anesthetic considerations in a parturient with Freeman-Sheldon syndrome.

Freeman-Sheldon syndrome is a rare genetic disorder characterized by malformations of the face, oral cavity and musculoskeletal system. This case report describes the anesthetic management of a parturient with Freeman-Sheldon syndrome, kyphoscoliosis and a cardiac pacemaker for a cesarean delivery and tubal ligation. With a predicted difficult airway, our team decided to provide a combined spinal-epidural anesthetic. Problems encountered included difficult intravenous access, failure to identify the subarachnoid space and patient discomfort during surgery.

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- K Fisher, F Qasem, P Armstrong, and I McConachie.
- Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre, London, Ontario, Canada. Electronic address: kfishe2@uwo.ca.
- Int J Obstet Anesth. 2016 Aug 1; 27: 81-4.
AbstractFreeman-Sheldon syndrome is a rare genetic disorder characterized by malformations of the face, oral cavity and musculoskeletal system. This case report describes the anesthetic management of a parturient with Freeman-Sheldon syndrome, kyphoscoliosis and a cardiac pacemaker for a cesarean delivery and tubal ligation. With a predicted difficult airway, our team decided to provide a combined spinal-epidural anesthetic. Problems encountered included difficult intravenous access, failure to identify the subarachnoid space and patient discomfort during surgery.Copyright © 2016 Elsevier Ltd. All rights reserved.

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Anesthetic considerations in a parturient with Freeman-Sheldon syndrome.

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