Anaesthetic management of caesarean section for a mother with pre-eclampsia, the Klippel-Feil syndrome and congenital hydrocephalus.
A mother with the Klippel-Feil syndrome, congenital hydrocephalus and increased intracranial pressure presented for delivery by Caesarean section at 33 weeks because of pre-eclampsia. Anaesthetic management comprised awake intubation using the fibreoptic bronchoscope, followed by induction and maintenance of general anaesthesia for the delivery of a live male infant. This case report describes the problems arising under these circumstances and the relative merits of different anaesthetic techniques.
Burns
A M
AM
Shackleton Department of Anaesthesia, Southampton General Hospital.
Dorje
P
P
Lawes
E G
EG
Nielsen
M S
MS
D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000150:complications*; D007231:Infant, Newborn; D007714:Klippel-Feil Syndrome / Q000150:complications*; D008297:Male; D011225:Pre-Eclampsia / Q000150:complications*; D011247:Pregnancy