Anesthetic management of a simultaneous emergency craniotomy and cesarean delivery.

ABSTRACT

Fetal heart tone monitoring is a frequently used tool during nonobstetric maternal surgery to evaluate the immediate well-being of a fetus. We present a case of a parturient requiring an emergency craniotomy, during which fetal heart tone monitoring demonstrated fetal distress patterns. A simultaneous emergency craniotomy and emergency cesarean delivery proceeded with favorable outcomes for both mother and infant. We present several issues associated with managing an emergent and concurrent maternal-fetal procedure.