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

A 25-year-old woman (G2P1) was diagnosed at 27 weeks-of-gestation with clinically definite amyotrophic lateral sclerosis (ALS), according to the revised El Escorial electrophysiological criteria.1 She was referred to the obstetrician for assessment of her pregnancy and to discuss the implications of ALS and delivery. Her previous pregnancy had been uneventful and she had a spontaneous vaginal delivery. At 28 weeks-of-gestation she was seen in consultation by an obstetrician and anesthesiologist.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Source Type: research