Document Detail

Anesthetic management of cerebral aneurysm clipping during pregnancy: a case report.
MedLine Citation:
PMID:  8291390     Owner:  NLM     Status:  MEDLINE    
A 35-week pregnant female presented emergently for clipping of a cerebral aneurysm under general anesthesia. The patient was neurologically stable with an active fetus. Anesthetic goals for this patient included maintenance of uteroplacental perfusion, fetal well-being, and maternal well-being. Maternal monitoring consisted of invasive arterial blood pressure, central venous pressure, and urine output, in addition to the standard monitors for anesthesia. Fetal monitoring consisted of fetal heart rate by external Doppler and uterine activity by external tocometer. Anesthesia care was directed at ensuring optimal maternal and fetal well-being. The aneurysm was clipped, and the patient emerged from anesthesia without neurological deficits. No uterine activity was noted intraoperatively. Fetal heart rate was maintained between 125 and 160 beats per minute. A healthy baby was delivered 11 days postoperatively by cesarean section under regional anesthesia. The Apgar score was 8/9 at 1 and 5 minutes.
T E Gill; S Mani; D R Dessables
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AANA journal     Volume:  61     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1994-02-24     Completed Date:  1994-02-24     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  282-6     Citation Subset:  N    
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MeSH Terms
Anesthesia, Inhalation
Fetal Hypoxia / prevention & control
Fetal Monitoring
Infant, Newborn
Intracranial Aneurysm / surgery*
Monitoring, Physiologic
Pregnancy Complications, Cardiovascular / surgery*

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