Continuous spinal anesthesia for cesarean delivery in a patient with arthrogryposis multiplex congenita. A clinical report.

BACKGROUND AND

OBJECTIVES

Arthrogryposis multiplex congenita (AMC) is a syndrome, diagnosed at birth, which presents with multiple joint contractures. Because this disease often progresses until there is dysfunction of multiple organ systems, it may have an impact on the anesthetic management. There are few anesthetic reports of this disease in the adult pregnant patient.

METHODS

A patient with AMC who underwent elective cesarean delivery with continuous subarachnoid bupivacaine anesthesia.

RESULTS

The patient delivered a healthy infant and recovered uneventfully from the anesthetic with no postoperative complications.

CONCLUSION

Continuous spinal anesthesia can be safely used for cesarean delivery in patients with AMC in the presence of appropriate monitoring.