Anaesthetic management of tetraplegic pregnant patients during child delivery: A systematic review.
Rev Esp Anestesiol Reanim (Engl Ed)
; 70(4): 224-230, 2023 04.
Article
em En
| MEDLINE
| ID: mdl-36842688
ABSTRACT
BACKGROUND:
Pregnancy in spinal cord injured patients has specific issues that must be carefully addressed. However, guidelines for their management are scarce.METHODS:
A systematic review of the literature regarding the anaesthetic management during delivery of pregnant patients with cervical spinal cord injury was performed on the electronic databases of PubMed (Medline) and Cochrane.RESULTS:
Twenty-two papers were included. A higher incidence of preterm birth and caesarean delivery were seen. Anaesthetic management was diverse, although most pregnant patients received epidural analgesia. Autonomic dysreflexia symptoms were present in 51% of pregnancies.CONCLUSION:
Timely management of these patients could possibly reduce caesarean and preterm delivery rates, avoid or minimize common complications, as well as reduce costs. An early reference to anaesthesiology consultation and a multidisciplinary approach is recommended.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
/
Disreflexia Autonômica
/
Nascimento Prematuro
/
Anestésicos
Tipo de estudo:
Etiology_studies
/
Systematic_reviews
Limite:
Child
/
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
En
Revista:
Rev Esp Anestesiol Reanim (Engl Ed)
Ano de publicação:
2023
Tipo de documento:
Article