Anesthetic Management for Combined Anterior Cervical Spinal Decompression and Fusion and Cesarean Delivery: A Case Report

被引：0
作者：
Keil, Dayley S. [1 ]
Murphy, Bryant A. [1 ]
Cobb, Benjamin G. [1 ]
机构：
[1] Univ N Carolina, Dept Anesthesiol, 2198 UNC Hosp,CB 7010, Chapel Hill, NC 27599 USA
来源：
A & A PRACTICE | 2022年 / 16卷 / 05期
关键词：
TRAUMA;
D O I：
10.1213/XAA.0000000000001595
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A 31-year-old G2P1 (gravida 2 para 1) woman at 34 weeks of gestation presented after a motor vehicle collision with an incomplete cervical spinal cord injury. The patient underwent emergent anterior cervical decompression and fusion (ACDF), immediately followed by cesarean delivery. We discuss the clinical decision making to perform ACDF first, weighing risks and benefits to both mother and baby. We also address important anesthetic considerations for this pregnant patient having emergent spine surgery, including positioning with left uterine displacement, rapid sequence intubation to minimize aspiration risk, choice of vasopressor, implications of total intravenous maintenance anesthetic, and the medical teams involved in this care.
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页数：3
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