Guest guest Posted January 8, 2004 Report Share Posted January 8, 2004 , Well, most likely better to ask your daughter's doctor about the surgery that me, although I did find this bit of research from 1996 that you might find valuable. Even with surgery on her feet, it requires anesthesia and I would get a couple of opinions on this if this was me. And I mean opinions from both foot surgeons AND the anestheiologists. I would also ask about blood loss and if the surgery is a " go " , by all means ask that your daughter donates to herself. ~ Gretchen From: Anasthesiol Intensivmed Notfallmed Schmerzther. 1996 Nov;31(9):582-4. [Anesthesiologic management of ankle joint osteosynthesis in the 35th week of pregnancy in a patient with Charcot-Marie-Tooth syndrome] Kirmayer UJ, Preisz A. Institut fur Anasthesie und Intensivmedizin Chefarzt Prof. G. Lenz, Klinikum Ingolstadt. We describe the case of an extremely overweight woman in her 35 th week of pregnancy with a manifest Charcot-Marie-Tooth syndrome (CMT), on whom a tibial fracture was operated under general anaesthesia. Anaesthesia was induced with thiopental, droperidol, fentanyl and maintained with nitrous oxide and isoflurane. Atracurium was administered as a muscle relaxant agent. Depolarizing muscle relaxants have not been used because of a significantly increased risk of hyperkalemia. The immediate intubation using the principle of a so-called " priming dose " was within normal limits. CMT syndrome is a very rare hereditary autosomal dominant degenerative disease of the peripheral nervous system. The main site of manifestation is the peroneus muscle. In case of affection of the respiratory muscular system, which acutely can occur postoperatively even without any suspicious findings in the preoperatively performed lung function tests, an insufficiency of the respiratory tract is predominant and may require a postoperative intensive care with a prolonged artificial respiration. With the application of non-depolarizing muscle relaxants significant prolongations of the half-life period have occasionally been observed. Therefore we recommend the monitoring of the neuromuscular blockade perioperatively using the train-of-four ratio. An extraordinary progression of the disease frequently occurs during pregnancy. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2004 Report Share Posted January 13, 2004 , Congratulations on the new baby I am not a doctor or medical professional but I have had five babies. If it was me I'd put the surgery off for a while. ( I wouldn't go to a doctor that would do surgery when I was pregnant.) I had CMT surgery when my first baby was 2. I had a lot of help with her little 2 year old self.. It worked out great! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 In a message dated 01/14/2004 9:38:35 AM Pacific Standard Time, cindybothwell@... writes: > Hi , > > Thanks for the advice. I think she's already decided not to > go ahead with it. She has an appointment with both doctors > next week. I will keep you posted. Thanks again. > > B > Oh glad to hear this. Babies are so wonderful. jenny Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2004 Report Share Posted January 14, 2004 Hi , Thanks for the advice. I think she's already decided not to go ahead with it. She has an appointment with both doctors next week. I will keep you posted. Thanks again. B http://www.cmtworld.org http://www.neurologychannel.com/charcot/ Quote Link to comment Share on other sites More sharing options...
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