Why the study?
Little information is available regarding anaesthetic management in myofibrillar myopathies, and even less is known about obstetric anaesthesia.
Combined neuraxial anaesthesia was successfully and safely used for a caesarean section in a patient with myofibrillar myopathy.
May support neuraxial anaesthesia for caesarean in myofibrillar myopathy; hypothesis-generating and should not yet change practice.
Myofibrillar myopathies (MFMs) are a group of rare genetic disorders that affect the function of skeletal, cardiac and smooth muscle.MFM exhibits a considerable degree of clinical heterogeneity. In numerous instances of MFM, muscle weakness is the predominant manifestation. Certain MFM subtypes are distinguished by respiratory and cardiac impairment.There is little information available about anaesthetic management in MFM, and even less is known about obstetric anaesthesia.A successful case of a patient with MFM undergoing a caesarean section under combined neuraxial anaesthesia is reported. The patient experienced no complications, and functional recovery was swift.
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Fernandes et al. (2023) studied this question.
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