Anesthetic management of the pregnant patient for endovascular coiling of an unruptured intracranial aneurysm.
Diagnosis of an intracranial aneurysm during pregnancy is a rare event requiring multidisciplinary care for successful management. The knowledge base for the anesthesiologist involves principles of both obstetric and neuroanesthesia, as well as critical care. This article reports such a case and discusses the relevant pathophysiology, along with details of the perioperative management by the anesthesiology team.
Department of Anaesthesia, Ulster Hospital, Royal Victoria Hospital, Belfast, Northern Ireland. garethallen1@hotmail.com
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G
Allen
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P
Farling
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D
McAtamney
D000328:Adult; D000758:Anesthesia; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000503:physiopathology / Q000628:therapy*; D010880:Piperidines / Q000008:administration & dosage; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology / Q000628:therapy*; D015742:Propofol / Q000008:administration & dosage; D000077208:Remifentanil
D018686:Anesthetics, Intravenous; D010880:Piperidines; D000077208:Remifentanil; D015742:Propofol