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Safe spinal anesthesia in a woman with chronic renal failure and placenta previa

BACKGROUND: Chronic renal failure is strongly associated with poor pregnancy outcome. Women dependent on hemodialysis before conception rarely achieve a successful live birth. CASE PRESENTATION: A 31-year-old multiparous Turkish woman was scheduled for cesarean section under spinal anesthesia at 37...

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Autor principal: Zencirci, Beyazit
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2915524/
https://www.ncbi.nlm.nih.gov/pubmed/20689686
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author Zencirci, Beyazit
author_facet Zencirci, Beyazit
author_sort Zencirci, Beyazit
collection PubMed
description BACKGROUND: Chronic renal failure is strongly associated with poor pregnancy outcome. Women dependent on hemodialysis before conception rarely achieve a successful live birth. CASE PRESENTATION: A 31-year-old multiparous Turkish woman was scheduled for cesarean section under spinal anesthesia at 37 weeks and five days’ gestation because of hemorrhage due to secondary placenta previa. Spinal anesthesia with 8 mg of hyperbaric bupivacaine was successfully performed. Invasive blood pressure, central venous pressure, and heart rate were stable during the surgery. The mother returned to regular hemodialysis on the first postoperative day. CONCLUSION: Pregnancy is uncommon in women with chronic renal failure requiring chronic dialysis. Rates of maternal hypertension, pre-eclampsia, anemia, and infection in the pregnant chronic dialysis patient are high. However, our findings suggest that with careful, close, and effective monitoring preoperatively and intraoperatively, spinal anesthesia can be safely performed for cesarean section in patients undergoing hemodialysis.
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spelling pubmed-29155242010-08-05 Safe spinal anesthesia in a woman with chronic renal failure and placenta previa Zencirci, Beyazit Int J Gen Med Case Report BACKGROUND: Chronic renal failure is strongly associated with poor pregnancy outcome. Women dependent on hemodialysis before conception rarely achieve a successful live birth. CASE PRESENTATION: A 31-year-old multiparous Turkish woman was scheduled for cesarean section under spinal anesthesia at 37 weeks and five days’ gestation because of hemorrhage due to secondary placenta previa. Spinal anesthesia with 8 mg of hyperbaric bupivacaine was successfully performed. Invasive blood pressure, central venous pressure, and heart rate were stable during the surgery. The mother returned to regular hemodialysis on the first postoperative day. CONCLUSION: Pregnancy is uncommon in women with chronic renal failure requiring chronic dialysis. Rates of maternal hypertension, pre-eclampsia, anemia, and infection in the pregnant chronic dialysis patient are high. However, our findings suggest that with careful, close, and effective monitoring preoperatively and intraoperatively, spinal anesthesia can be safely performed for cesarean section in patients undergoing hemodialysis. Dove Medical Press 2010-07-21 /pmc/articles/PMC2915524/ /pubmed/20689686 Text en © 2010 Zencirci, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Case Report
Zencirci, Beyazit
Safe spinal anesthesia in a woman with chronic renal failure and placenta previa
title Safe spinal anesthesia in a woman with chronic renal failure and placenta previa
title_full Safe spinal anesthesia in a woman with chronic renal failure and placenta previa
title_fullStr Safe spinal anesthesia in a woman with chronic renal failure and placenta previa
title_full_unstemmed Safe spinal anesthesia in a woman with chronic renal failure and placenta previa
title_short Safe spinal anesthesia in a woman with chronic renal failure and placenta previa
title_sort safe spinal anesthesia in a woman with chronic renal failure and placenta previa
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2915524/
https://www.ncbi.nlm.nih.gov/pubmed/20689686
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