Neuraxial Block in A Post-Hemorrhagic Stroke Pregnant Patient

Year 2024, Volume: 26 Issue: 1, 85 - 87, 30.04.2024

Ida Bagus Reza Nanda Iswara , Bianca Jeanne , I Wayan Suranadi

https://doi.org/10.18678/dtfd.1402546

Cited By: 1

Abstract

The selection of anesthetic methods for labor and delivery in individuals with elevated intracranial pressure relies on careful consideration of the risks and benefits. While neuraxial analgesia and anesthesia are favored for healthy individuals, they might not be suitable for individuals with intracranial lesions or a heightened risk of bleeding. Neuraxial block in post-stroke patients raises a concerning question about its safety due to the risk of herniation. The risk of perioperative major vascular events and mortality between general anesthesia and regional anesthesia in post-stroke patients is comparable. However, the neuraxial block shows benefits regarding airway manipulation and lower risk of thromboembolism. A successful and safe neuraxial anesthesia in a pregnant patient with a history of hemorrhagic stroke was presented in this case report.

Keywords

Post-stroke, Neuraxial anesthesia, Pregnancy, Neuroanesthesia

Hemorajik İnme Sonrası Gebe Bir Hastada Nöroaksiyel Blok

Abstract

Kafa içi basıncı yüksek olan bireylerde doğum sancısı ve doğum için anestezi yöntemlerinin seçimi, risklerin ve faydaların dikkatli bir şekilde değerlendirilmesine dayanır. Nöroaksiyel analjezi ve anestezi sağlıklı bireyler için tercih edilirken intrakranial lezyonları olan veya kanama riski yüksek olan kişiler için uygun olmayabilir. İnme sonrası hastalarda nöroaksiyel blok, fıtıklaşma riski nedeniyle güvenliği konusunda endişe verici bir soru ortaya çıkarmaktadır. İnme sonrası hastalarda genel anestezi ile bölgesel anestezi arasında perioperatif majör vasküler olay ve mortalite riski karşılaştırılabilir. Bununla birlikte, nöroaksiyel blok, hava yolu manipülasyonu ve daha düşük tromboembolizm riski açısından faydalar göstermektedir. Bu vaka raporunda hemorajik inme öyküsü olan gebe bir hastada başarılı ve güvenli nöroaksiyel anestezi sunulmuştur.

Keywords

İnme sonrası, Nöroaksiyel anestezi, Gebelik, Nöroanestezi

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