[Paraplegia and pregnancy: anaesthesic management].
Pregnancy is a rare occurrence in patient suffering from spinal cord lesion. The authors report the case of labour and delivery in a paraplegic patient who was suffering from lesion located T6 level. In early labour epidural analgesia was maintained and the vaginal delivery was successful without associated fluctuation of blood pressure or other signs of autonomic hyperreflexia. The epidural catheter was maintained for 48 h post-partum. The main risks and anaesthesic management of pregnancy in paraplegic patients are discussed.
Département d'anesthésie-réanimation, CHI André-Grégoire, 93105 Montreuil, France. kamel.rezig@chi-andre-gregoire.fr
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Rezig
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Diar
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Benabidallah
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Khodja
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Saint-Leger
D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D020211:Autonomic Dysreflexia / Q000503:physiopathology; D001794:Blood Pressure / Q000502:physiology; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D010264:Paraplegia / Q000150:complications*; D011247:Pregnancy; D013119:Spinal Cord Injuries / Q000150:complications