Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean Delivery
Physiologic changes of pregnancy and cystic fibrosis pathology provide a unique set of circumstances. Pulmonary disease accounts for over 90% of the morbidity and mortality of patients with cystic fibrosis. These abnormalities create anesthetic challenges due to multiple organ systems being affected...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/8814729 |
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| _version_ | 1849397028177575936 |
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| author | Thais Franklin Dos Santos Andrea Rabassa Oscar Aljure Reine Zbeidy |
| author_facet | Thais Franklin Dos Santos Andrea Rabassa Oscar Aljure Reine Zbeidy |
| author_sort | Thais Franklin Dos Santos |
| collection | DOAJ |
| description | Physiologic changes of pregnancy and cystic fibrosis pathology provide a unique set of circumstances. Pulmonary disease accounts for over 90% of the morbidity and mortality of patients with cystic fibrosis. These abnormalities create anesthetic challenges due to multiple organ systems being affected including the respiratory, gastrointestinal, cardiovascular, and genitourinary tracts, where patients present with chronic respiratory failure, pancreatic insufficiency, poor nutrition, and cardiac manifestations. We present the perianesthetic management of a parturient with cystic fibrosis who successfully underwent preterm cesarean delivery under neuraxial anesthesia with preemptive bilateral femoral venous sheaths placed for potential extracorporeal membrane oxygenation (ECMO) initiation. |
| format | Article |
| id | doaj-art-a9aa61ae3e7e4d5582534173a6cee6a3 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-a9aa61ae3e7e4d5582534173a6cee6a32025-08-20T03:39:10ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/88147298814729Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean DeliveryThais Franklin Dos Santos0Andrea Rabassa1Oscar Aljure2Reine Zbeidy3Department of Anesthesiology, University of Miami, Jackson Memorial Hospital, 1611 NW 12th Ave, Miami 33136, FL, USADepartment of Anesthesiology, University of Miami, Jackson Memorial Hospital, 1611 NW 12th Ave, Miami 33136, FL, USADepartment of Anesthesiology, University of Miami, Jackson Memorial Hospital, 1611 NW 12th Ave, Miami 33136, FL, USADepartment of Anesthesiology, University of Miami, Jackson Memorial Hospital, 1611 NW 12th Ave, Miami 33136, FL, USAPhysiologic changes of pregnancy and cystic fibrosis pathology provide a unique set of circumstances. Pulmonary disease accounts for over 90% of the morbidity and mortality of patients with cystic fibrosis. These abnormalities create anesthetic challenges due to multiple organ systems being affected including the respiratory, gastrointestinal, cardiovascular, and genitourinary tracts, where patients present with chronic respiratory failure, pancreatic insufficiency, poor nutrition, and cardiac manifestations. We present the perianesthetic management of a parturient with cystic fibrosis who successfully underwent preterm cesarean delivery under neuraxial anesthesia with preemptive bilateral femoral venous sheaths placed for potential extracorporeal membrane oxygenation (ECMO) initiation.http://dx.doi.org/10.1155/2020/8814729 |
| spellingShingle | Thais Franklin Dos Santos Andrea Rabassa Oscar Aljure Reine Zbeidy Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean Delivery Case Reports in Anesthesiology |
| title | Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean Delivery |
| title_full | Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean Delivery |
| title_fullStr | Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean Delivery |
| title_full_unstemmed | Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean Delivery |
| title_short | Perioperative Management and Preemptive ECMO Cannulation of a Parturient with Cystic Fibrosis Undergoing Cesarean Delivery |
| title_sort | perioperative management and preemptive ecmo cannulation of a parturient with cystic fibrosis undergoing cesarean delivery |
| url | http://dx.doi.org/10.1155/2020/8814729 |
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