Case Report
Anesthetic management for cesarean delivery in a pregnant woman with polymyositis: A case report and review of literature
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* Corresponding author: Ilkben Gunusen ilkben.gunusen@ege.edu.tr
Department of Anesthesiology and Reanimation, Ege University Faculty of Medicine, Izmir, Turkey
Cases Journal 2009, 2:9107 doi:10.1186/1757-1626-2-9107
Published: 29 November 2009Abstract
Introduction
Polymyositis which is a rare disease both in general population and in pregnancy is systemic connective tissue disorder characterized by inflammation and degeneration of muscles. There is only a little information relating to the anesthetic management of a pregnant woman with polymyositis.
Case presentation
In this article, we present anesthetic management of urgent cesarean delivery of a 28-year-old parturient with polymyositis under epidural anesthesia who was diagnosed with polymyositis five years ago and has been treated regularly with different doses prednisolone since then.
Conclusion
In a parturient with polymyositis, it should not be suggested general anesthesia due to risks including delayed recovery from muscle relaxation, aspiration pneumonitis, arrhythmias, cardiac failure, we consider that epidural anesthesia for cesarean section can be safely applied.