Combined spinal-epidural anesthesia with non-invasive ventilation during cesarean delivery of a woman with a recent diagnosis of amyotrophic lateral sclerosis

•Non-invasive ventilation for a woman with amyotrophic lateral sclerosis and respiratory failure.•Cesarean delivery conducted under combined spinal-epidural anesthesia.•A multidisciplinary approach resulted in a safe outcome. Amyotrophic lateral sclerosis is the most common neurodegenerative upper a...

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Bibliographic Details
Published in:International journal of obstetric anesthesia 2018-11, Vol.36, p.108-110
Main Authors: Kock-Cordeiro, D.B.M., Brusse, E., van den Biggelaar, R.J.M., Eggink, A.J., van der Marel, C.D.
Format: Article
Language:English
Subjects:
Adult
Amyotrophic lateral sclerosis
Amyotrophic Lateral Sclerosis - complications
Anesthesia, Epidural - methods
Anesthesia, Obstetrical - methods
Anesthesia, Spinal - methods
Cesarean delivery
Cesarean Section - methods
Female
Humans
Infant, Newborn
Multidisciplinary team
Noninvasive Ventilation - methods
Pregnancy
Pregnancy Complications
Spinal-epidural anesthesia
Ventilation, non-invasive
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Summary:•Non-invasive ventilation for a woman with amyotrophic lateral sclerosis and respiratory failure.•Cesarean delivery conducted under combined spinal-epidural anesthesia.•A multidisciplinary approach resulted in a safe outcome. Amyotrophic lateral sclerosis is the most common neurodegenerative upper and lower motor neuron disease in adults but is not common in women of child-bearing age. We present a case of a pregnant woman who was diagnosed with amyotrophic lateral sclerosis and developed respiratory distress at 32 weeks-of-gestation. She underwent a cesarean delivery under combined spinal-epidural anesthesia with non-invasive ventilation. This resulted in a successful outcome for both the mother and the baby.
ISSN:0959-289X
1532-3374
1532-3374
DOI:10.1016/j.ijoa.2018.06.001