Primary Cesarean Delivery Complicated by the Incidental Finding of a Cerebral Aneurysm: Selecting a Safe Anesthesia Technique
Affiliation
Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, NY, USA
Corresponding Author
Won Chee, M.D, Assistant,Professor, Department of Anesthesiology, Montefiore Medical Center Albert Einstein College of Medicine,Bronx, NY, 10467 USA; Tel: 718 9204316; Fax:718 881 2245; E-mail: wchee@montefiore.org
Citation
Won Chee. Primary Cesarean Delivery Complicated by the Incidental Finding of a Cerebral Aneurysm: Selecting a Safe Anesthesia Technique (2015) J Anesth Surg 2(1) : 32-33.
Copy rights
© 2015 Won Chee. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
The presence of acerebral aneurysm in an obstetric patient raises a special anesthetic concern for Cesarean delivery. General anesthesia poses the inherently increased risk of a difficult airway as well as an adverse impact of hypertension during induction and emergence. Epidural anesthesia may facilitate gradual hemodynamic changes and allows intraoperative neurologic monitoring. However, potential dural puncture headache may lender it difficult to recognize an intracranial hemorrhage. In the end, spinal anesthesia was chosen for the advantage of avoiding hypertensive responses from either airway stimulation or inadequate analgesia.
