Affiliation:
1. Department of Anaesthesiology and Critical Care, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
Abstract
Scleroderma is an autoimmune disease that can cause fibrosis in vital organs, often resulting in damage to the skin, blood vessels, gastrointestinal system, lungs, heart, and/or kidneys. A case report of 37-year-old G2P1SA1 was posted for the elective cesarean section which was safely conducted under subarachnoid blockade than general anesthesia as the latter a higher morbidity rate. The patient manifested with calcinosis, Raynaud’s disease, and sclerodactyly. Patients with scleroderma present with serious comorbidities that can negatively impact anesthetic management; so, the implementation of an anesthetic plan that takes such risks into account is required. So, scleroderma patient was successfully managed under regional anesthesia.
Reference12 articles.
1. Chapter 24- Skin and Collagen disorders, page no. 502, left side – Scleroderma in Stoelting’s Anaesthesia and Co- existing disease
2. Anesthetic management of the patient with scleroderma;Fan;Int Student J Nurse Anesth,2008
3. Spinal anesthesia for caesarean section in a patient with systemic sclerosis;Bailey;Anaesthesia,1999
4. Progressive systemic sclerosis: Clinical manifestations and anesthetic considerations;Roberts;J Clin Anesth,2002
5. The ASRA evidence-based medicine assessment of ultrasound-guided regional anesthesia and pain medicine: Executive summary;Neal;Reg Anesth Pain Med,2010