Spinal Anesthesia: A Noble Choice for Emergency Caesarean Section in a Morbidly Obese Parturient with Preeclampsia
نویسندگان
چکیده
Obesity is associated with an increased risk of maternal morbidity and mortality. Morbid obesity associated with preeclampsia in a pregnancy is a great challenge to anaesthetist when patient requires caesarean section. Providing anesthesia for these patients presents unique challenges that can best be met through an understanding of the pathophysiologic changes associated with obesity and preeclampsia and with use of techniques that maximize benefits while reducing the risks of complications.
منابع مشابه
Continuous spinal anesthesia for cesarean section for a morbidly obese parturient patient: a case report.
This case report details the successful anesthetic management of a morbidly obese parturient patient who presented for a repeat, elective cesarean section. The preanesthetic evaluation and the indications for choosing a continuous spinal anesthetic are discussed. Evaluation of the anesthetic plan is also discussed through a review of the postoperative scenario.
متن کاملAnesthetic management of the morbidly obese parturient.
PURPOSE OF REVIEW Regional analgesia for labor pain and general anesthesia for cesarean section in the morbidly obese parturient is associated with increased maternal and perinatal complications. The purpose of this review is to describe the anesthetic management of the morbidly obese parturient. RECENT FINDINGS Compared to the lean parturient, the morbidly obese parturient has an increased l...
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BACKGROUND Up to 40% of women gain excessive weight during pregnancy. Obesity complications and risks in parturient women undergoing cesarean section (CS) with different anesthetic methods remain unknown. This study aimed to assess the safety and risk of obese women undergoing CS delivery with various perioperative anesthetic methods. METHODS Seven hundred ninety parturient women underwent CS...
متن کاملSpinal Anaesthesia for Emergency Caesarean Section in a Morbid Obese Woman with Severe Preeclampsia
Background. Morbid obesity in a pregnancy is a great challenge to medical practice especially when the patient requires caesarean section. Case Summary. A 38-year-old unbooked gravida 3 Para 2(+0) weight 195 kg, height 1.7 m with a blood pressure of 210/160 mmhg had spinal anaesthesia for emergency caesarean section which was technically difficult for severe preeclampsia at 32-week gestation. S...
متن کاملLow-dose spinal anaesthesia for a parturient with Takayasu's arteritis undergoing emergency caesarean section.
Takayasu's arteritis is a rare form of nonspecific obliterative panarteritis of unknown aetiology. Anaesthesia for patients with Takayasu's arteritis is complicated by severe uncontrolled hypertension leading to end-organ dysfunction, stenosis of major blood vessels affecting regional circulation, and difficulties in the monitoring of arterial blood pressure. The anaesthetic approach for partur...
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