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Epidural anaesthesia for caesarean section in a patient with quadriplegia and autonomic hyperreflexia.

Authors
Type
Published Article
Journal
International Journal of Obstetric Anesthesia
0959-289X
Publisher
Elsevier
Publication Date
Volume
13
Issue
2
Pages
120–123
Identifiers
PMID: 15321419
Source
Medline
License
Unknown

Abstract

The anaesthetic management of a pregnant quadriplegic woman with a history of autonomic hyperreflexia is discussed. Autonomic hyperreflexia is a life-threatening complication of high spinal cord transection, for which labour is a well known stimulus. It can lead to uncontrolled hypertension. We discuss the anaesthetic considerations in planning the care of this patient, who was managed for elective caesarean section and post partum hypertension with epidural anaesthesia.

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