Anesthetic Management in a Gravida with Type IV Osteogenesis Imperfecta

Table 2

Osteogenesis imperfecta challenges in the perioperative setting.

Perioperative phase	OI specific anesthetic challenge
Preoperative	Hypovolemic shock; Blood loss; Anticipation of difficulty of intubation; NPO status; Gravida status
Intraoperative	Positioning; Hemodynamic monitoring: noninvasive versus invasive; PIV placement; Airway control: tracheal intubation technique; Dental and oral trauma avoidance; General anesthetic agent: inhalational versus TIVA; Ventilation and oxygenation management; Hemodynamic management; Hemostasis; Extubation
Postoperative	Ventilation and oxygenation management; Pain control