• A&A practice · Sep 2018

    Case Reports

    Parturient With Barnes Syndrome (Thoracolaryngopelvic Dysplasia) Undergoing Cesarean Delivery of a Neonate With Barnes Syndrome: A Case Report.

    • Shetal H Patel, Franklin M Banzali, Rebecca J Post, Carolyn V Nguyen, Richard M Benoit, David D Tieu, Danielle S Stranc, Hernandez Conte Antonio A From the Departments of Anesthesiology., and Andrew G Rudikoff.
    • From the Departments of Anesthesiology.
    • A A Pract. 2018 Sep 15; 11 (6): 151-154.

    AbstractThis case describes a parturient with Barnes syndrome, a rare disorder characterized by subglottic stenosis, thoracic dystrophy, and small pelvic inlet, who underwent cesarean delivery of a neonate diagnosed with Barnes syndrome. Live simulation training was performed by multidisciplinary team to prepare for the spinal anesthetic, personnel flow between 2 operating rooms, and management of various airway scenarios for the newborn. After delivery, the neonate underwent laryngoscopy-bronchoscopy with successful intubation in the operating room because of labored breathing. Airway evaluation revealed subglottic stenosis, tracheomalacia/bronchomalacia. Collaboration among perinatologists, obstetric/pediatric anesthesiologists, pediatric head and neck surgeons, and neonatologists was integral to perioperative management of both the mother and child.

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