Document Detail


Anesthetic management of a parturient with type III Klippel-Feil syndrome.
MedLine Citation:
PMID:  21134737     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Klippel-Feil syndrome is believed to occur from failure of normal segmentation of cervical somites during gestation. We present the case of a 38-year-old primiparous woman with type III Klippel-Feil syndrome for elective cesarean delivery. Our patient had a short webbed neck, short stature, limited neck flexion and extension, and thoraco-lumbar abnormalities. A multidisciplinary approach, involving obstetrics, medical subspecialties, anesthesiology, otolaryngology, and radiology, were utilized to evaluate and manage this patient. Pulmonary function testing revealed a restrictive defect, but transthoracic echocardiography was normal without pulmonary hypertension. We planned a combined spinal-epidural technique; however, only the epidural technique was obtained. Cesarean delivery was commenced with favorable maternal and fetal outcomes. Post-operative pain management was provided with intravenous morphine patient-controlled analgesia.
Authors:
G Hsu; E Manabat; S Huffnagle; H J Huffnagle
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Publication Detail:
Type:  Journal Article     Date:  2010-12-04
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  20     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  82-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA. gch2p@hotmail.com
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