Article Text

Download PDFPDF
Anesthetic Management of a Parturient with Myotonia Dystrophica: A Case Report
  1. William R. Camann, M.D. and
  2. Mark D. Johnson, M.D.
  1. From the Department of Anesthesia, Brigham and Women's Hospital, Harvard Medical School, Boston

Abstract

We report the case of a 22-year-old parturient with myotonia dystrophica. She underwent two separate intraabdominal surgical procedures in one day, both under lumbar epidural anaesthesia. Management was directed toward prevention of shivering, a known trigger of myotonic crises. Measures used included warm ambient atmosphere, warmed IV fluids, warming blankets and administration of epidural sufentanil, an opioid recently ascribed as an inhibitor of shivering in parturients.

  • Myotonia
  • shivering
  • sufentanil
  • epidural
  • cesarean delivery
  • pregnancy

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.