PMID: 9438616Jan 23, 1998Paper

Anesthetic management for a combined Cesarean section and posterior fossa craniectomy

Journal of Neurosurgical Anesthesiology
G Korula, P Farling

Abstract

A 33-year-old primigravida presented with intracranial tumor during the third trimester of pregnancy. She underwent a ventriculoatrial shunt and a combined cesarean section and posterior fossa craniectomy during this period. The neuroanesthetic requirement for this patient is prevention of rise in intracranial pressure with a slow and smooth induction and maintenance. Cesarean section demands rapid induction with minimum anesthetic until the delivery of the baby. Achieving these contradictory requirements at the same time can be challenging to an anesthesiologist. We report the anesthetic management of this patient during the above surgical procedures. Perioperative management of such patients with regard to use of uterine stimulants and prevention of venous stasis also are discussed.

Citations

Mar 17, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·L ChangS Tindal
May 26, 2009·International Journal of Obstetric Anesthesia·U FreoC Ori
Feb 17, 2000·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·J C SunC R Honey

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