1. Neuraxial Block in A Post-Hemorrhagic Stroke Pregnant Patient.
- Author
-
ISWARA, Ida Bagus Reza Nanda, JEANNE, Bianca, and SURANADI, I. Wayan
- Subjects
- *
STROKE diagnosis , *ONDANSETRON , *PAIN measurement , *POSTOPERATIVE care , *ARTERIOVENOUS malformation , *COMPUTED tomography , *PREGNANT women , *ANESTHESIA in neurology , *MIDAZOLAM , *OBSTETRICAL analgesia , *INTRAVENOUS therapy , *INTENSIVE care units , *NERVE block , *CEREBRAL hemorrhage , *ACETAMINOPHEN - Abstract
The selection of anesthetic methods for labor and delivery in individuals with elevated intracranial pressure relies on careful consideration of the risks and benefits. While neuraxial analgesia and anesthesia are favored for healthy individuals, they might not be suitable for individuals with intracranial lesions or a heightened risk of bleeding. Neuraxial block in poststroke patients raises a concerning question about its safety due to the risk of herniation. The risk of perioperative major vascular events and mortality between general anesthesia and regional anesthesia in post-stroke patients is comparable. However, the neuraxial block shows benefits regarding airway manipulation and lower risk of thromboembolism. A successful and safe neuraxial anesthesia in a pregnant patient with a history of hemorrhagic stroke was presented in this case report. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF