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Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 1998 September;64(9) > Minerva Anestesiologica 1998 September;64(9):419-23



A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Frequency: Monthly

ISSN 0375-9393

Online ISSN 1827-1596


Minerva Anestesiologica 1998 September;64(9):419-23


Caesarian section in patient with a recent ischemic-hemorrhagic cerebral pathology. Spinal anaesthesia

Caputo F.

AUSL BR/1, Ospedale «N. Melli» - San Pietro Vernotico (Brindisi), Servizio Anestesia e Rianimazione

The choice of anaesthesia for Caesarian sections, in patient with recent cerebral ischemic-hemorrhagic injurys, is a big problem. A case is reported of a woman submitted to Caesarian section in spinal anaesthesia who, in the first quarter, suffered an ischemic-hemorrhagic cerebral injury. Spinal anaesthesia was made by hyperbaric bupivacaine 0.5% at 10 mg dose+fentanyl 25 µg using 24G Sprotte needle. Spinal anaesthesia guarantees a good neuroendocrine protection to surgical aggression and a good hemodynamic stability. Hypotension prophylaxis by pre-filled is necessary and its treatment with ephedrine must be timely carried out. Risk of post-dural puncture headache, by atraumatic and very thin needles, is negligible. Spinal anaesthesia avoids general anaesthesia which may cause cardiovascular damages due to oro-tracheal intubation leading to possible cerebral damage. Induction-delivery time is more dangerous: the use of alogenate, oppioids, and/or some medicaments which may control the mother’s adrenergic response, exhibit the newborn to risks.

language: Italian


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