A case of cesarean section preceded by coil embolization for subarachnoid hemorrhage under general anesthesia

Yoshifumi Okada, Tomoko Hayasaka, Satoko Chiba, Ryou Nishino, Yasuhiro Endo, Masanori Yamauchi

研究成果: Article査読

抄録

We report a case of subarachnoid hemorrhage due to rupture of a cerebral aneurysm in a 29-year-old woman in the 34th week of pregnancy. The aneurysm at the anterior communicating artery was up to 10 mm in diameter on magnetic resonance imaging and scheduled for emergent coil embolization. Simultaneously, obstetricians determined that cesarean section should be performed. Maintaining anesthesia by propofol and remifentanil, coil embolization was first performed to avoid aneurism re-rupture, and the patient was then transferred from an angiography room to an operating room where a cesarean section was performed. After delivery, fentanyl 600μg was intravenously administered, and the patient was extubated immediately after the operation without any complaints. The neonate (weighing 1,882 g, Apgar score 4 at 1 min and 5 at 5 min) also recovered with no complications after 24 hr artificial ventilation. In conclusion, intravenous anesthesia mainly with remifentanil is adequate for a pregnant patient receiving cesarean section preceded by neurosurgery.

本文言語English
ページ(範囲)989-991
ページ数3
ジャーナルJapanese Journal of Anesthesiology
64
9
出版ステータスPublished - 2015 9 1

ASJC Scopus subject areas

  • 麻酔学および疼痛医療

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