[Anesthesia for nonobstetric surgery during pregnancy: cerebrovascular disease].
The incidence of intracranial hemorrhage is approximately 1-5 in 10,000 pregnancies. In Japan, it is reported that 184 such cases occurred and 10 of them died in 2006. Neurosurgery during pregnancy is required infrequently however a multidisciplinary approach is mandated and anesthesiologists need to modify neuroanesthetic and obstetric practices to accommodate the safety requirements of the mother and fetus. Following the physiologic changes of pregnancy and fetal considerations in nonobstetric surgery during pregnancy, we present the maternal and fetal considerations in anesthesia for intracranial hemorrhage.
Surgical Operating Center, Hamamatsu University Hospital, Hamamatsu 431-3192
Chieko
C
Akinaga
Mizuki
M
Taniguchi
Yoshito
Y
Shiraishi
Shigehito
S
Sato
D000014:Abnormalities, Drug-Induced / Q000209:etiology; D000136:Acid-Base Equilibrium; D000773:Anesthesia, Obstetrical; D000777:Anesthetics / Q000009:adverse effects; D002543:Cerebral Hemorrhage; D005260:Female; D006340:Heart Rate, Fetal; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D019990:Perioperative Care; D011247:Pregnancy / Q000502:physiology*; D011248:Pregnancy Complications; D047928:Premature Birth / Q000517:prevention & control; D013514:Surgical Procedures, Operative
D000777:Anesthetics