Anaesthetic management in limb-girdle muscular dystrophy for emergency caesarean section

PubMed, the Internet portal of biomedical and life sciences literature, indexed an interesting article, entitled Anaesthetic management of a woman with autosomal recessive limb-girdle muscular dystrophy for emergency caesarean section ( Int J Obstet Anesth. 2007 Oct;16(4):370-4). Authors are Allen T Maguire S from the Department of Anaesthesia, South Manchester University Hospital, Manchester, UK. 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. To access the full abstract of the article, click here.