[Anesthetic management for emergency cesarean section in a patient with intracranial hemorrhage due to ruptured arteriovenous malformation].
A 30 year-old pregnant woman (36 weeks) had intracranial hemorrhage due to arteriovenous malformation in the left frontal lobe. She underwent an emergency cesarean section under general anesthesia. To avoid hemodynamic changes and increasing intracranial pressure, intravenous lidocaine and inhaled sevoflurane were given prior to tracheal intubation, and a bolus dose of nicardipine was given prior to tracheal extubation. Emergence from anesthesia was uneventful, and no exacerbation of neurological signs and symptoms were recognized. It is important to control hemodynamic changes during anesthesia for a patient with intracranial hemorrhage due to ruptured arteriovenous malformation.
Department of Anesthesiology, Jichi Medical School, Tochigi.
K
K
Sotome
H
H
Fukuda
S
S
Akazawa
Y
Y
Hirabayashi
H
H
Kasuda
S
S
Inoue
R
R
Shimizu
D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D002543:Cerebral Hemorrhage / Q000209:etiology*; D002585:Cesarean Section; D004630:Emergencies; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications*; D009529:Nicardipine / Q000008:administration & dosage; D019990:Perioperative Care; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D012422:Rupture, Spontaneous; D014665:Vasodilator Agents / Q000008:administration & dosage
D014665:Vasodilator Agents; D009529:Nicardipine