Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor

A 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery....

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Autores principales: Santos, Christiano dos Santos e, Joyner, David A., Tuma Santos, Cristiane A., Grayson, Bernadette E., Calimaran, Arthur, Bacon, Douglas R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040380/
https://www.ncbi.nlm.nih.gov/pubmed/32099683
http://dx.doi.org/10.1155/2020/6893587
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author Santos, Christiano dos Santos e
Joyner, David A.
Tuma Santos, Cristiane A.
Grayson, Bernadette E.
Calimaran, Arthur
Bacon, Douglas R.
author_facet Santos, Christiano dos Santos e
Joyner, David A.
Tuma Santos, Cristiane A.
Grayson, Bernadette E.
Calimaran, Arthur
Bacon, Douglas R.
author_sort Santos, Christiano dos Santos e
collection PubMed
description A 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery. Aiming for cardiovascular stability and immediate reduction of sympathetic activity, a combined spinal epidural was successfully placed. An uneventful cesarean section was performed. The patient was transferred to the intensive care unit neurologically intact and discharged home after 8 days. This report describes an unusual anesthetic management of a patient with a large AVM in active labor.
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spelling pubmed-70403802020-02-25 Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor Santos, Christiano dos Santos e Joyner, David A. Tuma Santos, Cristiane A. Grayson, Bernadette E. Calimaran, Arthur Bacon, Douglas R. Case Rep Anesthesiol Case Report A 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery. Aiming for cardiovascular stability and immediate reduction of sympathetic activity, a combined spinal epidural was successfully placed. An uneventful cesarean section was performed. The patient was transferred to the intensive care unit neurologically intact and discharged home after 8 days. This report describes an unusual anesthetic management of a patient with a large AVM in active labor. Hindawi 2020-02-13 /pmc/articles/PMC7040380/ /pubmed/32099683 http://dx.doi.org/10.1155/2020/6893587 Text en Copyright © 2020 Christiano dos Santos e Santos et al. http://creativecommons.org/licenses/by/4.0/ 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
Santos, Christiano dos Santos e
Joyner, David A.
Tuma Santos, Cristiane A.
Grayson, Bernadette E.
Calimaran, Arthur
Bacon, Douglas R.
Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_full Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_fullStr Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_full_unstemmed Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_short Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_sort alternative to general anesthesia for a stat cesarean delivery in a patient with a large arteriovenous malformation involving the cervicomedullary junction in active labor
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040380/
https://www.ncbi.nlm.nih.gov/pubmed/32099683
http://dx.doi.org/10.1155/2020/6893587
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