Journal
FRONTIERS IN MEDICINE
Volume 9, Issue -, Pages -Publisher
FRONTIERS MEDIA SA
DOI: 10.3389/fmed.2022.783796
Keywords
anesthesia; cesarean section; paraplegia; autonomic hyperreflexia; spinal cord injury
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Funding
- Natural Science Foundation Project of Chongqing, Chongqing Science and Technology Commission [cstc2021jcyj-msxmX0763]
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This study reports the anesthesia management in a paraplegic woman undergoing cesarean section and reviews anesthesia strategies used in other studies. The results show that spinal anesthesia is the preferred choice for paraplegic women requiring cesarean section.
BackgroundWith the advancement of medical science and rehabilitative care, more women with spinal cord injury (SCI) can conceive. However, autonomic hyperreflexia due to SCI complicates anesthesia management during cesarean sections. Case PresentationThis study reports the anesthesia management in a woman with paraplegia with a T6 SCI lesion who underwent a cesarean section. It also reviews the anesthesia strategies used in other studies. Spinal anesthesia with a low concentration of ropivacaine was administered along with dexmedetomidine for sedation. Stable hemodynamics were achieved without complications. ConclusionsBased on the reported case and literature review, we conclude that the intrathecal block is the preferred choice for women with paraplegia who require cesarean section if the lumbar bone structure allows puncture attempts.
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