TITLE:
Anesthetic Management of a Patient with Spinal Muscular Atrophy Type III Undergoing Emergent Caesarean Section: A Case Report
AUTHORS:
Kwame Awuku, Achim Younker, Breta Osei-Bonsu, Joseph Nalbone, Aditi Master, Dongchen Li, Ming Xiong
KEYWORDS:
Spinal Muscular Atrophy, General Anesthesia, Cesarean Section, Obstetric Anesthesia
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.14 No.6,
June
27,
2024
ABSTRACT: In this case report, we describe the anesthetic management for a 36-year-old G2P0010 at 36 weeks gestation with Spinal Muscular Atrophy Type III who underwent an emergent caesarean section due to fetal footling breech position. The patient is a wheelchair-bound quadriplegic with kyphoscoliosis and a lack of cough reflex who required nasal continuous noninvasive ventilatory support (CNVS) for chronic hypercapnic respiratory failure. Surgery was done under general anesthesia due to its emergent nature, and the patient was successfully extubated and transitioned to nasal CNVS in the operating room at the end of the case. Postoperative care was provided in the medical intensive care unit for three days without complication and the patient was discharged home uneventfully.