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Anesthetic management for emergency cesarean section in a patient with status epilepticus: A case report

RATIONALE: The presence of clinically significant repeated maternal epilepsies during pregnancy increases the risk of adverse maternal, fetal and neonatal outcomes. However, there are few guidelines for anesthesiologists to deal with this situation. PATIENT CONCERNS AND DIAGNOSES: A 28-year-old prim...

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Autores principales: An, Liyuan, Gao, Min, Su, Guoning, Li, Hua, Tao, Liping, Lu, Danxia, Qu, Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695619/
http://dx.doi.org/10.1097/MD.0000000000036331
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author An, Liyuan
Gao, Min
Su, Guoning
Li, Hua
Tao, Liping
Lu, Danxia
Qu, Yan
author_facet An, Liyuan
Gao, Min
Su, Guoning
Li, Hua
Tao, Liping
Lu, Danxia
Qu, Yan
author_sort An, Liyuan
collection PubMed
description RATIONALE: The presence of clinically significant repeated maternal epilepsies during pregnancy increases the risk of adverse maternal, fetal and neonatal outcomes. However, there are few guidelines for anesthesiologists to deal with this situation. PATIENT CONCERNS AND DIAGNOSES: A 28-year-old primigravida was transferred to the operating room for emergency cesarean section. Based on the patient’s complaints and clinical appearance, provisional diagnosis of preeclampsia at 33 weeks’ gestation as well as frequent and repeated grand mal convulsions at 14 years of age were considered. The anesthetic modalities of the disease are also discussed. INTERVENTIONS AND OUTCOMES: Because the usual antiepileptic therapy had failed, the patient with status epilepticus underwent surgery under general anesthesia. The newborn was handed to the pediatrician and the patient was transferred to the intensive care unit for further observation and discharged 4 days later. No peri-operative or anesthetic complications were observed. LESSONS: Providing anesthesia to patients undergoing cesarean section poses major challenges for anesthesiologists. Close monitoring and proper treatment can help reduce risks for both the mother and baby.
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spelling pubmed-106956192023-12-05 Anesthetic management for emergency cesarean section in a patient with status epilepticus: A case report An, Liyuan Gao, Min Su, Guoning Li, Hua Tao, Liping Lu, Danxia Qu, Yan Medicine (Baltimore) 3300 RATIONALE: The presence of clinically significant repeated maternal epilepsies during pregnancy increases the risk of adverse maternal, fetal and neonatal outcomes. However, there are few guidelines for anesthesiologists to deal with this situation. PATIENT CONCERNS AND DIAGNOSES: A 28-year-old primigravida was transferred to the operating room for emergency cesarean section. Based on the patient’s complaints and clinical appearance, provisional diagnosis of preeclampsia at 33 weeks’ gestation as well as frequent and repeated grand mal convulsions at 14 years of age were considered. The anesthetic modalities of the disease are also discussed. INTERVENTIONS AND OUTCOMES: Because the usual antiepileptic therapy had failed, the patient with status epilepticus underwent surgery under general anesthesia. The newborn was handed to the pediatrician and the patient was transferred to the intensive care unit for further observation and discharged 4 days later. No peri-operative or anesthetic complications were observed. LESSONS: Providing anesthesia to patients undergoing cesarean section poses major challenges for anesthesiologists. Close monitoring and proper treatment can help reduce risks for both the mother and baby. Lippincott Williams & Wilkins 2023-12-01 /pmc/articles/PMC10695619/ http://dx.doi.org/10.1097/MD.0000000000036331 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 3300
An, Liyuan
Gao, Min
Su, Guoning
Li, Hua
Tao, Liping
Lu, Danxia
Qu, Yan
Anesthetic management for emergency cesarean section in a patient with status epilepticus: A case report
title Anesthetic management for emergency cesarean section in a patient with status epilepticus: A case report
title_full Anesthetic management for emergency cesarean section in a patient with status epilepticus: A case report
title_fullStr Anesthetic management for emergency cesarean section in a patient with status epilepticus: A case report
title_full_unstemmed Anesthetic management for emergency cesarean section in a patient with status epilepticus: A case report
title_short Anesthetic management for emergency cesarean section in a patient with status epilepticus: A case report
title_sort anesthetic management for emergency cesarean section in a patient with status epilepticus: a case report
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695619/
http://dx.doi.org/10.1097/MD.0000000000036331
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