{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T12:29:29Z","timestamp":1787056169784,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":229,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Anesthesiology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Spinal muscular atrophy (SMA) Type 2 is a rare autosomal recessive neuromuscular disorder that poses considerable anesthetic challenges in pregnancy, mainly because of restrictive lung physiology, progressive muscle weakness, and spinal deformity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report the anesthetic management of a 20\u2010year\u2010old Hispanic primigravida with SMA Type 2 and severe kyphoscoliosis who presented to the hospital at 25 3\/7\u2009weeks of gestation with progressive dyspnea. As her respiratory function deteriorated, an urgent cesarean section at 29 5\/7\u2009weeks of gestation, together with bilateral salpingectomy, was performed under general anesthesia. Awake nasal fiberoptic intubation was used for airway control, and anesthesia was maintained with an opioid\u2010sparing, dexmedetomidine\u2010based total intravenous anesthesia (TIVA) protocol with minimal adjuncts. Multimodal analgesia was implemented, and postoperative recovery was successful despite delayed extubation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dexmedetomidine\u2010based TIVA with minimal adjuncts, combined with multimodal analgesia, was a feasible and safe anesthetic approach in this pregnant patient with SMA. Multidisciplinary planning was essential to optimize maternal and fetal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cria\/9953728","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T11:45:52Z","timestamp":1787053552000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anesthetic Management for Cesarean Delivery in a Pregnant Patient With Spinal Muscular Atrophy Type 2: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9969-2291","authenticated-orcid":false,"given":"Jose Gerardo","family":"Lopez Saenz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Bonilla Acosta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffry","family":"Carvajal Villalobos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirley","family":"Acuna Chinchilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-6-71"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00839207"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2004.01.006"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2018.03.001"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.36185\/2532-1900-316"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-2184-0756"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13023-023-02634-4"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000220896.56427.53"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2012.03.001"},{"key":"e_1_2_9_10_2","article-title":"Dexmedetomidine as a Substitute for Muscle Relaxants in Facilitating Endotracheal Intubation","author":"Hassan H. F.","year":"2024","journal-title":"A Randomized, Controlled Double-Blinded Study"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/bcpt.13740"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0300060517707113"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181c04e58"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2024.1366943"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2022.103548"},{"key":"e_1_2_9_16_2","doi-asserted-by":"crossref","first-page":"3350","DOI":"10.1097\/00029330-201409200-00028","article-title":"Total Intravenous Anesthesia for Cesarean Section in a Pregnant Woman With Spinal Muscular Atrophy","volume":"127","author":"Fang Q.","year":"2014","journal-title":"Chinese Medical Journal"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2003.07.011"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.4236\/ojanes.2024.146014"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2009.05.002"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-025-02909-2"}],"container-title":["Case Reports in Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cria\/9953728","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cria\/9953728","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cria\/9953728","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T11:45:54Z","timestamp":1787053554000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cria\/9953728"}},"subtitle":[],"editor":[{"given":"Shashank","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cria\/9953728"],"URL":"https:\/\/doi.org\/10.1155\/cria\/9953728","archive":["Portico"],"relation":{},"ISSN":["2090-6382","2090-6390"],"issn-type":[{"value":"2090-6382","type":"print"},{"value":"2090-6390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-07-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9953728"}}