International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 2007
Case ReportsAnaesthetic management of a woman with autosomal recessive limb-girdle muscular dystrophy for emergency caesarean section.
We report the successful management of a 28-year-old parturient with an autosomal recessive limb-girdle muscular dystrophy with severe restrictive lung disease, who required non-invasive positive pressure ventilation in the third trimester of her pregnancy. At 37 weeks' gestation she had combined spinal-epidural anaesthesia for emergency caesarean section and had an uncomplicated intra- and postoperative course. The anaesthetic management is discussed and the literature briefly reviewed.