Neuroanesthesia for the pregnant woman.
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.
Wang
Lars Peter
LP
Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia. lars.wang@health.wa.gov.au
Paech
Michael James
MJ
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