Habib Ashraf S, Helsley Scott E, Millar Simon, Deballi Pete, Muir Holly A
Department of Anesthesiology, Division of Women's Anesthesia, Duke University Medical Center, Durham, NC 27710, USA.
J Clin Anesth. 2004 May;16(3):217-9. doi: 10.1016/j.jclinane.2003.07.011.
We 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.
