Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
A 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery....
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/6893587 |
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| author | Christiano dos Santos e Santos David A. Joyner Cristiane A. Tuma Santos Bernadette E. Grayson Arthur Calimaran Douglas R. Bacon |
| author_facet | Christiano dos Santos e Santos David A. Joyner Cristiane A. Tuma Santos Bernadette E. Grayson Arthur Calimaran Douglas R. Bacon |
| author_sort | Christiano dos Santos e Santos |
| collection | DOAJ |
| description | A 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery. Aiming for cardiovascular stability and immediate reduction of sympathetic activity, a combined spinal epidural was successfully placed. An uneventful cesarean section was performed. The patient was transferred to the intensive care unit neurologically intact and discharged home after 8 days. This report describes an unusual anesthetic management of a patient with a large AVM in active labor. |
| format | Article |
| id | doaj-art-6286e2319514406dbe7a303725e01ade |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-6286e2319514406dbe7a303725e01ade2025-02-03T05:52:44ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/68935876893587Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active LaborChristiano dos Santos e Santos0David A. Joyner1Cristiane A. Tuma Santos2Bernadette E. Grayson3Arthur Calimaran4Douglas R. Bacon5Department of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Radiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Radiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USAA 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery. Aiming for cardiovascular stability and immediate reduction of sympathetic activity, a combined spinal epidural was successfully placed. An uneventful cesarean section was performed. The patient was transferred to the intensive care unit neurologically intact and discharged home after 8 days. This report describes an unusual anesthetic management of a patient with a large AVM in active labor.http://dx.doi.org/10.1155/2020/6893587 |
| spellingShingle | Christiano dos Santos e Santos David A. Joyner Cristiane A. Tuma Santos Bernadette E. Grayson Arthur Calimaran Douglas R. Bacon Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor Case Reports in Anesthesiology |
| title | Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor |
| title_full | Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor |
| title_fullStr | Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor |
| title_full_unstemmed | Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor |
| title_short | Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor |
| title_sort | alternative to general anesthesia for a stat cesarean delivery in a patient with a large arteriovenous malformation involving the cervicomedullary junction in active labor |
| url | http://dx.doi.org/10.1155/2020/6893587 |
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