Anesthetic experience of emergency cesarean section for a patient with myotonic dystrophy
Ogasawara, H.; Hashimoto, Y.; Ishihara, H.; Matsuki, A.; Fukushi, S.
Masui. Japanese Journal of Anesthesiology 42(5): 738-741
1993
ISSN/ISBN: 0021-4892 PMID: 8515553 Document Number: 415099
We report an anesthetic experience of a 28-year-old female patient complicated with myotonic dystrophy who underwent emergency Cesarean section due to threatened abortion. Anesthesia was induced with intravenous thiopental followed by topical spray of 4% lidocaine 5 ml to intubate trachea and maintained with neuroleptanesthesia with droperidol, fentanyl and nitrous oxide in oxygen. No muscle relaxant was used. The course of anesthesia and emergence from anesthesia were uneventful. However, the female infant, with Apgar score of 1 point at five minutes after delivery, died due to multiple organ failure three weeks after the delivery. Anesthetic management of a patient with myotonic dystrophy was also discussed with a literature review.