An intrathecal catheter in a pregnant patient with idiopathic intracranial hypertension: analgesia, monitor and therapy?
Idiopathic intracranial hypertension is important for the obstetric anaesthetist as it is mostly seen in obese women of childbearing age. The incidence is likely to increase as the obesity pandemic grows. Management of labour analgesia in these patients can be complex and requires multidisciplinary input. We successfully managed labour analgesia in a parturient with idiopathic intracranial hypertension with an intrathecal catheter. The possibility of using this catheter as a cerebrospinal fluid drain and pressure monitor was considered and is discussed along with potential complications.
Department of Anaesthesia, National Maternity Hospital, Dublin, Ireland. Electronic address: mooredm82@googlemail.com.
D M
DM
Moore
Department of Anaesthesia, National Maternity Hospital, Dublin, Ireland.
M
M
Meela
Department of Anaesthesia, National Maternity Hospital, Dublin, Ireland.
D
D
Kealy
Department of Anaesthesia, National Maternity Hospital, Dublin, Ireland.
L
L
Crowley
Department of Anaesthesia, National Maternity Hospital, Dublin, Ireland.
R
R
McMorrow
Department of Anaesthesia, National Maternity Hospital, Dublin, Ireland.
B
B
O'Kelly
D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D017217:Blood Patch, Epidural; D002045:Bupivacaine / Q000008:administration & dosage; D002404:Catheterization; D057785:Catheters; D005260:Female; D006801:Humans; D007278:Injections, Spinal; D009767:Obesity, Morbid / Q000150:complications; D051299:Post-Dural Puncture Headache / Q000628:therapy; D011247:Pregnancy; D011559:Pseudotumor Cerebri / Q000150:complications* / Q000628:therapy*
D000779:Anesthetics, Local; D002045:Bupivacaine
Idiopathic intracranial hypertension; Intrathecal catheter; Labour analgesia