Case report: Anesthetic management for sequential Cesarean delivery and laminectomy View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2007-06

AUTHORS

Arif Al-areibi, Lynn Coveney, Sudha Singh, Sandra Katsiris

ABSTRACT

PURPOSE: To describe the anesthetic considerations for a near-term parturient with progressive cauda equina syndrome who required Cesarean delivery followed immediately by decompression lumbar discectomy and laminectomy in the prone position. CLINICAL FEATURES: A 33-yr-old woman presented at 35 weeks gestation with severe L5-S1 disc herniation causing motor and sensory neuronal dysfunction in the lower limbs accompanied by bowel and bladder dysfunction. After urgent multidisciplinary consultations, a decision was made to proceed with general anesthesia for Cesarean delivery in the supine position with left uterine displacement, followed immediately thereafter by L5-S1 discectomy and laminectomy in the prone position. Anesthesia concerns included the risks of hemorrhage from the combined surgeries and upper airway edema from the prone position, and the physiologic changes of pregnancy. The surgeries proceeded without complication, and both mother and baby recovered uneventfully. CONCLUSION: With a multidisciplinary approach, two surgeries in two different positions with unique anesthetic considerations were performed safely under general anesthesia in advanced pregnancy in a parturient with cauda equina syndrome. More... »

PAGES

471

References to SciGraph publications

  • 2000-04. Airway changes during cesarean hysterectomy in JOURNAL CANADIEN D'ANESTHÉSIE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf03022034

    DOI

    http://dx.doi.org/10.1007/bf03022034

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1044365254

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17541077


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