title: Neuroanesthesia for the pregnant woman.
abstract: Neuroanesthesia for the pregnant patient is required infrequently, and evidence-based recommendations for neuroanesthetic management are sparse. We present a framework for a practical approach to anesthesia of the pregnant patient with subarachnoid or intracerebral hemorrhage, intracranial tumor, traumatic brain injury, spinal tumor, or spinal injury. The importance of a team-approach is emphasized. The anesthesiologist may have to anesthetize the pregnant patient for neurosurgery well before delivery, for cesarean delivery at the time of the neurosurgical procedure, or for delivery after neurosurgery. These scenarios are discussed along with fetal safety and anesthetic considerations for interventional neuroradiology.
authors.affiliation: Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia. lars.wang@health.wa.gov.au
authors.forename: Lars Peter
authors.initials: LP
authors.lastname: Wang
authors.forename: Michael James
authors.initials: MJ
authors.lastname: Paech
mesh_terms: D000758:Anesthesia / Q000379:methods*; D001930:Brain Injuries / Q000601:surgery; D001932:Brain Neoplasms / Q000601:surgery; D002543:Cerebral Hemorrhage; D005260:Female; D005440:Fluid Therapy; D006439:Hemodynamics; D006801:Humans; D007427:Intracranial Pressure; D016343:Monitoring, Intraoperative; D019635:Neurosurgical Procedures / Q000379:methods*; D010149:Postoperative Pain / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011300:Preoperative Care; D020301:Vasospasm, Intracranial / Q000628:therapy