Patient with Scleroderma for Elective Cesarean Section: Anesthesia Management

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.

Keywords

• calcinosis
• raynaud’s disease
• regional anesthesia
• scleroderma