Cargando…

Occult Spinal Dysraphism in Obstetrics: A Case Report of Caesarean Section with Subarachnoid Anaesthesia after Remifentanil Intravenous Analgesia for Labour

Neuraxial techniques of anaesthesia and analgesia are the current choice in obstetrics for efficacy and general low risk of major complications. Concern exists about neuraxial anaesthesia in patients with occult neural tube defects, regarding both labour analgesia and anaesthesia for Caesarean secti...

Descripción completa

Detalles Bibliográficos
Autores principales: Valente, A., Frassanito, L., Natale, L., Draisci, G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3400331/
https://www.ncbi.nlm.nih.gov/pubmed/22844625
http://dx.doi.org/10.1155/2012/472482
_version_ 1782238478571929600
author Valente, A.
Frassanito, L.
Natale, L.
Draisci, G.
author_facet Valente, A.
Frassanito, L.
Natale, L.
Draisci, G.
author_sort Valente, A.
collection PubMed
description Neuraxial techniques of anaesthesia and analgesia are the current choice in obstetrics for efficacy and general low risk of major complications. Concern exists about neuraxial anaesthesia in patients with occult neural tube defects, regarding both labour analgesia and anaesthesia for Caesarean section. Recently, remifentanil infusion has been proposed as an analgesic technique alternative to lumbar epidural, especially when epidural analgesia appears to be contraindicated. Here, we discuss the case of a pregnant woman attending at our institution with occult, symptomatic spinal dysraphism who requested labour analgesia. She was selected for remifentanil intravenous infusion for labour pain and then underwent urgent operative delivery with spinal anaesthesia with no complications.
format Online
Article
Text
id pubmed-3400331
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-34003312012-07-27 Occult Spinal Dysraphism in Obstetrics: A Case Report of Caesarean Section with Subarachnoid Anaesthesia after Remifentanil Intravenous Analgesia for Labour Valente, A. Frassanito, L. Natale, L. Draisci, G. Case Rep Obstet Gynecol Case Report Neuraxial techniques of anaesthesia and analgesia are the current choice in obstetrics for efficacy and general low risk of major complications. Concern exists about neuraxial anaesthesia in patients with occult neural tube defects, regarding both labour analgesia and anaesthesia for Caesarean section. Recently, remifentanil infusion has been proposed as an analgesic technique alternative to lumbar epidural, especially when epidural analgesia appears to be contraindicated. Here, we discuss the case of a pregnant woman attending at our institution with occult, symptomatic spinal dysraphism who requested labour analgesia. She was selected for remifentanil intravenous infusion for labour pain and then underwent urgent operative delivery with spinal anaesthesia with no complications. Hindawi Publishing Corporation 2012 2012-07-10 /pmc/articles/PMC3400331/ /pubmed/22844625 http://dx.doi.org/10.1155/2012/472482 Text en Copyright © 2012 A. Valente et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Valente, A.
Frassanito, L.
Natale, L.
Draisci, G.
Occult Spinal Dysraphism in Obstetrics: A Case Report of Caesarean Section with Subarachnoid Anaesthesia after Remifentanil Intravenous Analgesia for Labour
title Occult Spinal Dysraphism in Obstetrics: A Case Report of Caesarean Section with Subarachnoid Anaesthesia after Remifentanil Intravenous Analgesia for Labour
title_full Occult Spinal Dysraphism in Obstetrics: A Case Report of Caesarean Section with Subarachnoid Anaesthesia after Remifentanil Intravenous Analgesia for Labour
title_fullStr Occult Spinal Dysraphism in Obstetrics: A Case Report of Caesarean Section with Subarachnoid Anaesthesia after Remifentanil Intravenous Analgesia for Labour
title_full_unstemmed Occult Spinal Dysraphism in Obstetrics: A Case Report of Caesarean Section with Subarachnoid Anaesthesia after Remifentanil Intravenous Analgesia for Labour
title_short Occult Spinal Dysraphism in Obstetrics: A Case Report of Caesarean Section with Subarachnoid Anaesthesia after Remifentanil Intravenous Analgesia for Labour
title_sort occult spinal dysraphism in obstetrics: a case report of caesarean section with subarachnoid anaesthesia after remifentanil intravenous analgesia for labour
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3400331/
https://www.ncbi.nlm.nih.gov/pubmed/22844625
http://dx.doi.org/10.1155/2012/472482
work_keys_str_mv AT valentea occultspinaldysraphisminobstetricsacasereportofcaesareansectionwithsubarachnoidanaesthesiaafterremifentanilintravenousanalgesiaforlabour
AT frassanitol occultspinaldysraphisminobstetricsacasereportofcaesareansectionwithsubarachnoidanaesthesiaafterremifentanilintravenousanalgesiaforlabour
AT natalel occultspinaldysraphisminobstetricsacasereportofcaesareansectionwithsubarachnoidanaesthesiaafterremifentanilintravenousanalgesiaforlabour
AT draiscig occultspinaldysraphisminobstetricsacasereportofcaesareansectionwithsubarachnoidanaesthesiaafterremifentanilintravenousanalgesiaforlabour