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Spinal Muscular Atrophy Essay

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Spinal Muscular Atrophy (SMA) is a disorder primarily associated with deletions or mutations in Chromosome 5 which leads to deficiency of motor neuron protein called SMN or “survival of motor neuron”, located on Chromosome 5, this protein is necessary for motor neuron function (Sumner, 2007). SMA involves degeneration of spinal motor neurons which results to global hypotonia, lung problems, autonomic and bulbar dysfunction.
The primary symptom of SMA is weakness of the voluntary muscles and the most affected are those which are close to the spine, such as hips, shoulders, upper back and thighs. SMA covers a broad spectrum by age, ranging from mild to severe. In type I (also called Werdnig-Hoffmann disease), is a severe form of SMA, which affects the individual at birth or within the first few months of life; development is delayed of the affected infants, supporting the head and unassisted sitting are impossible for …show more content…

Medical records were reviewed for demographic, clinical, and outcome data. The study found out that 25 children with SMA had 56 general and regional anesthesia cases: 21 (38%) patients had ventilator aid, 14 (25%) had intravenous anesthesia with nitrous oxide, 41 (84%) had epidural opioids, one infant had a spinal anesthesia. Intraoperative complications with 2 (4%) and postoperative complications with 2 (4%). One patient requires unplanned ICU admission, and there were 2 late deaths. Based on the results, the researchers recommended that children with SMA receive care for undergoing or recovering from anesthesia at institutions that gives different and effective approaches to make the patients feel comfortable and secure, a patient-centered hospital, plans extensively in preoperative and postanesthetic critical

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