The pregnant patient with an intracranial arteriovenous malformation:Cesarean or vaginal delivery using regional or general anesthesia?

S. K. Sharma, E. R. Herrera, J. E. Sidawi, K. J. Leveno

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Background and Objectives. A parturient with large intracranial arteriovenous malformation presented for elective cesarean delivery. Methods. The anesthetic technique included acute hydration with intravenous crystalloid followed by continuous epidural anesthesia with bupivacaine and fentanyl and oxygen by face mask. Intraoperative monitoring consisted of electrocardiography, pulse oximetry, invasive arterial blood pressure, and analysis of arterial blood gases. Postoperative analgesia in the immediate postoperative period was provided by a continuous epidural infusion of bupivacaine and fentanyl followed by intravenous patient-controlled analgesia using a mixture of morphine and droperidol. Results. A cesarean delivery was successfully performed and both mother and infant were eventually discharged from the hospital in good condition. Conclusions. In this case report the choice of obstetric management (cesarean versus vaginal delivery) of a full-term parturient with an intracranial arteriovenous malformation is discussed, and the rationale for the preference of epidural anesthesia for the cesarean delivery is presented. Reg Anesth 1995:20:455-458.

Original languageEnglish (US)
Pages (from-to)455-458
Number of pages4
JournalRegional Anesthesia
Volume20
Issue number5
StatePublished - Jan 1 1995

Keywords

  • Anesthesia
  • Cesarean delivery
  • Complications
  • Epidural
  • Intracranial arteriovenous malformations
  • Regional
  • Surgery

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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