Bellamy Jack, Pye Sidney
From the Liverpool Hospital, Liverpool, New South Wales, Australia.
A A Pract. 2024 Dec 10;18(12):e01881. doi: 10.1213/XAA.0000000000001881. eCollection 2024 Dec 1.
Spondylocostal dysostosis (SCD) is an inherited skeleton growth disorder characterized by abnormalities of the vertebrae and ribs. Individuals are susceptible to kyphoscoliosis and pulmonary complications, which may be exacerbated by respiratory physiologic changes in pregnancy. We present a case of a parturient with severe kyphoscoliosis and restrictive lung disease who received a modified rapid sequence induction and transabdominal plane blocks for cesarean delivery. Our case describes the safe administration of general anesthesia for cesarean delivery and reviews the anesthetic considerations for managing patients with SCD.
脊椎肋骨发育不良(SCD)是一种遗传性骨骼生长障碍,其特征为椎骨和肋骨异常。患者易患脊柱侧弯和肺部并发症,而怀孕时的呼吸生理变化可能会加重这些并发症。我们报告一例患有严重脊柱侧弯和限制性肺病的产妇,她在剖宫产时接受了改良快速顺序诱导和腹横平面阻滞。我们的病例描述了剖宫产全身麻醉的安全实施,并回顾了管理SCD患者的麻醉注意事项。