Journal article
Neuraxial labor analgesia in a parturient with carnitine palmitoyl transferase type II deficiency: a case report
International journal of obstetric anesthesia, Vol.60, 104246
11/2024
DOI: 10.1016/j.ijoa.2024.104246
PMID: 39209572
Abstract
Carnitine Palmitoyl Transferase Type II (CPT II) deficiency is a disorder of fatty acid beta oxidation that causes decreased adenosine triphosphate (ATP) and ketone production during periods of fasting or high energy requirements. Labor and delivery can precipitate attacks for parturients with this disorder, causing hypoglycemia, muscle weakness, rhabdomyolysis, and kidney failure. Anesthetic management considers the delivery mode and anesthetic medications available to reduce these risks. We present a case of a parturient with CPT II deficiency who achieved a vaginal delivery under a labor epidural analgesic. We also discuss our alternative plans had a different delivery mode been required.
Details
- Title: Subtitle
- Neuraxial labor analgesia in a parturient with carnitine palmitoyl transferase type II deficiency: a case report
- Creators
- Taylor K. BowmanAdeeb OweidatNour El Hage ChehadeMonica CheriyanSabry AyadMcCallum Hoyt
- Resource Type
- Journal article
- Publication Details
- International journal of obstetric anesthesia, Vol.60, 104246
- DOI
- 10.1016/j.ijoa.2024.104246
- PMID
- 39209572
- NLM abbreviation
- Int J Obstet Anesth
- ISSN
- 0959-289X
- eISSN
- 1532-3374
- Publisher
- ELSEVIER SCI LTD
- Alternative title
- Labor Anesthetic Management of a Parturient with Carnitine Palmitoyl Transferase Type II Deficiency: A Case Report
- Language
- English
- Electronic publication date
- 08/2024
- Date published
- 11/2024
- Academic Unit
- Anesthesia
- Record Identifier
- 9984696782902771
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