Sevoflurane induction for emergency caesarean section: two case reports in women with needle phobia.
Needle phobia is an unusual but well-recognised clinical entity. It is claimed that it may affect up to 10% of the general population and may prevent potential patients from seeking medical care, thereby reducing its apparent incidence in the hospital population. Its occurrence in a parturient requiring urgent caesarean section presents special challenges to the anaesthetist. This report discusses the clinical, ethical and medico-legal dilemmas presented by two such cases that were successfully managed by inhalational induction of general anaesthesia using sevoflurane.
Simon
G R
GR
Department of Anaesthesia, North Staffordshire Hospital, Stoke-on-Trent, UK. gowrisimon@hotmail.com
Wilkins
C J
CJ
Smith
I
I