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Acta clinica Croatica, Vol. 62. No. 1, 2023.

Book review

https://doi.org/10.20471/acc.2023.62.01.26

Dilemmas about the Selection of Anesthesia for Elective Cesarean Section in Pregnant Women With Myotonic Dystrophy Type 2 and Suspected Von Willebrand Disease: A Case Report

Katarina Kličan-Jaić orcid id orcid.org/0000-0002-2848-3855 ; Department of Anesthesiology, Intensive Care Medicine and Pain Management, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivka Djaković orcid id orcid.org/0000-0003-2275-6389 ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Nika Orešković ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Tihana Magdić Turković ; Department of Anesthesiology, Intensive Care Medicine and Pain Management, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Maja Pešić ; Department of Anesthesiology, Intensive Care Medicine and Pain Management, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Vesna Košec ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

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Abstract

With advancement of medicine in the field of diagnostics and treatment of women
suffering from certain genetic disorders, more and more women have attained reproductive age
and desired fertility. Maintaining pregnancy, as well as bringing it to an end poses a real challenge not
only for obstetricians, but also for anesthesiologists involved in the procedure. In our case report, we
describe anesthetic management of a female patient suffering from myotonic dystrophy type 2 and
suspected von Willebrand’s disease, and undergoing elective cesarean section. It is acknowledged that
both diseases have their own peculiarities and specificities related to anesthesia and require careful
consideration when it comes to selecting it. Bearing in mind the advantages and disadvantages of certain
types of anesthesia, we believe that in this case, general anesthesia was a better choice compared
to the regional techniques of anesthesia.

Keywords

Pregnancy; Myotonic dystrophy; von Willebrand disease; Anesthesia; Cesarean section

Hrčak ID:

307316

URI

https://hrcak.srce.hr/307316

Publication date:

1.4.2023.

Article data in other languages: croatian

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