Document Detail


Prolonged muscle weakness following general anesthesia in a parturient on combined antiretroviral therapy--a case report.
MedLine Citation:
PMID:  18044294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of an otherwise healthy; ambulatory 32 year old parturient on combined antiretroviral therapy that developed prolonged muscle weakness needing postoperative artificial ventilation. Despite no preoperative indication of muscle weakness, she developed respiratory insufficiency following general anesthesia with drugs that are deemed safe for her condition. After ruling out all the likely causes for her respiratory insufficiency that needed 12 hrs of artificial ventilation, we address the issue of undiagnosed preoperative muscle weakness as a likely cause for her problem. The role of a preoperative neurological evaluation to caution the anesthesiologist of the likelihood of a possible need for prolonged artificial ventilation following general anesthesia in this subgroup of patients, emphasized.
Authors:
Jotish Mathew; Madan Mohan Maddali; Jutta Fahr
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Middle East journal of anesthesiology     Volume:  19     ISSN:  0544-0440     ISO Abbreviation:  Middle East J Anesthesiol     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-11-29     Completed Date:  2008-01-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8604187     Medline TA:  Middle East J Anesthesiol     Country:  Lebanon    
Other Details:
Languages:  eng     Pagination:  673-8     Citation Subset:  IM    
Affiliation:
Department of Anesthesia, Royal Hospital, Muscat, Sultanate Oman.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, General / adverse effects*
Antiretroviral Therapy, Highly Active / adverse effects*
Cesarean Section*
Female
HIV Infections / complications,  drug therapy
Humans
Muscle Weakness / etiology*
Postoperative Complications / chemically induced,  physiopathology*
Pregnancy
Respiration, Artificial
Respiratory Function Tests

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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