Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos Syndrome
We report the administration of spinal anaesthesia for cesarean delivery in a parturient with vascular Ehlers-Danlos syndrome. Parturients who genetically inherit this disorder are at risk for significant morbidity and mortality. Risks during pregnancy include premature labor, uterine prolapse, and...
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Hindawi Limited
2018-01-01
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Series: | Case Reports in Anesthesiology |
Online Access: | http://dx.doi.org/10.1155/2018/1924725 |
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doaj-9a2b925d7d554e5fb5a3b1e9a89c75262020-11-25T00:19:48ZengHindawi LimitedCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/19247251924725Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos SyndromeJeffrey M. Carness0Mark J. Lenart1Department of Anesthesiology, United States Naval Hospital Yokosuka, Yokosuka, JapanDepartment of Anesthesiology, Naval Medical Center Portsmouth, Portsmouth, VA, USAWe report the administration of spinal anaesthesia for cesarean delivery in a parturient with vascular Ehlers-Danlos syndrome. Parturients who genetically inherit this disorder are at risk for significant morbidity and mortality. Risks during pregnancy include premature labor, uterine prolapse, and uterine rupture. Additionally, such laboring parturients are at increased risk of hemodynamic volatility, vascular stress, and severe postpartum hemorrhage. Instrumented delivery and cesarean delivery bring additional risks. Nonpregnancy-related complications include excessive bleeding, intestinal rupture, cardiac valvular dysfunction, and arterial dissection. Despite the complexity of this condition, literature focusing on specific intraoperative anaesthetic management is sparse.http://dx.doi.org/10.1155/2018/1924725 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jeffrey M. Carness Mark J. Lenart |
spellingShingle |
Jeffrey M. Carness Mark J. Lenart Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos Syndrome Case Reports in Anesthesiology |
author_facet |
Jeffrey M. Carness Mark J. Lenart |
author_sort |
Jeffrey M. Carness |
title |
Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos Syndrome |
title_short |
Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos Syndrome |
title_full |
Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos Syndrome |
title_fullStr |
Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos Syndrome |
title_full_unstemmed |
Spinal Anaesthesia for Cesarean Section in a Patient with Vascular Type Ehlers-Danlos Syndrome |
title_sort |
spinal anaesthesia for cesarean section in a patient with vascular type ehlers-danlos syndrome |
publisher |
Hindawi Limited |
series |
Case Reports in Anesthesiology |
issn |
2090-6382 2090-6390 |
publishDate |
2018-01-01 |
description |
We report the administration of spinal anaesthesia for cesarean delivery in a parturient with vascular Ehlers-Danlos syndrome. Parturients who genetically inherit this disorder are at risk for significant morbidity and mortality. Risks during pregnancy include premature labor, uterine prolapse, and uterine rupture. Additionally, such laboring parturients are at increased risk of hemodynamic volatility, vascular stress, and severe postpartum hemorrhage. Instrumented delivery and cesarean delivery bring additional risks. Nonpregnancy-related complications include excessive bleeding, intestinal rupture, cardiac valvular dysfunction, and arterial dissection. Despite the complexity of this condition, literature focusing on specific intraoperative anaesthetic management is sparse. |
url |
http://dx.doi.org/10.1155/2018/1924725 |
work_keys_str_mv |
AT jeffreymcarness spinalanaesthesiaforcesareansectioninapatientwithvasculartypeehlersdanlossyndrome AT markjlenart spinalanaesthesiaforcesareansectioninapatientwithvasculartypeehlersdanlossyndrome |
_version_ |
1725370033539907584 |