Primary Cesarean Delivery Complicated by the Incidental Finding of a Cerebral Aneurysm: Selecting a Safe Anesthesia Technique
Journal Title: Journal of Anesthesia and Surgery - Year 2015, Vol 2, Issue 1
Abstract
The presence of acerebral aneurysm in an obstetric patient raises a special anesthetic concern for Cesarean delivery General anesthesia poses the inherently increased risk of a difficult airway as well as an adverse impact of hypertension during induction and emergence Epidural anesthesia may facilitate gradual hemodynamic changes and allows intraoperative neurologic monitoring However potential dural puncture headache may lender it difficult to recognize an intracranial hemorrhage In the end spinal anesthesia was chosen for the advantage of avoiding hypertensive responses from either airway stimulation or inadequate analgesia
Authors and Affiliations
Won Chee
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