Anesthetic management of a simultaneous emergency craniotomy and cesarean delivery.

نویسندگان

  • Blaire Wouters
  • David B Sanford
چکیده

Fetal heart tone monitoring is a frequently used tool during nonobstetric maternal surgery to evaluate the immediate well-being of a fetus. We present a case of a parturient requiring an emergency craniotomy, during which fetal heart tone monitoring demonstrated fetal distress patterns. A simultaneous emergency craniotomy and emergency cesarean delivery proceeded with favorable outcomes for both mother and infant. We present several issues associated with managing an emergent and concurrent maternal-fetal procedure.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Craniotomy for suprasellar meningioma in a 28-week pregnant woman without fetal heart rate monitoring.

PURPOSE To illustrate the anesthetic management of a craniotomy for suprasellar meningioma in a 28-week pregnant woman and to review the considerations for fetal monitoring during surgery. CLINICAL FEATURES A 33-yr-old woman presented at 28 weeks of gestation with rapidly deteriorating vision in her right eye. Neuroradiological investigations revealed a large suprasellar meningioma extending ...

متن کامل

Emergency cesarean delivery in primigravida with portal hypertension, esophageal varices, and preeclampsia.

The incidence of cirrhosis and advanced portal hypertension during pregnancy is very low, and the literature is scarce with regard to the anesthetic management of a parturient with this coexisting disease. We report the successful perioperative management of a parturi- ent with a history of cirrhosis and portal hypertension with esophageal varices and mild preeclampsia who presented at 38 weeks...

متن کامل

Anesthetic management for cesarean delivery in a Guillain-Barré syndrome patient -A case report-

Guillain-Barré syndrome is an acute inflammatory demyelinating polyradiculopathy characterized by progressive motor weakness, areflexia, and ascending paralysis. Guillain-Barré syndrome is extremely rare in pregnant patients, and there are no established guidelines for delivery or safest anesthetic methods. We report a Cesarean delivery in the case of a 32-year old woman who was diagnosed with ...

متن کامل

Extracranial Vertebral Aneurysm in Pregnancy: A Case Report on the Anesthetic Management during a Cesarean Section

The management of pregnant patients with aneurysms represents a challenge. Vertebral aneurysms are an exceedingly rare condition. Their management is not defined due to the scarcity of cases. The best technique to reduce aneurysm rupture risk with simultaneous maternal and fetal wellbeing preservation is not established. The authors present a case of 41-year old pregnant woman, proposed for an ...

متن کامل

Anesthetic review of emergency peripartum hysterectomy following vaginal and cesarean delivery: a retrospective study

BACKGROUND The purpose of this study was to review incidence, indications, complications, and the anesthetic management of emergency obstetric hysterectomies. METHODS This was a retrospective study of the cases of emergency obstetric hysterectomies performed at the Woman's Hospital over a 3 year period between January 2008 and December 2010. The indication for surgery, anesthetic management, ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • AANA journal

دوره 81 5  شماره 

صفحات  -

تاریخ انتشار 2013