[Anesthetic Management of a Pregnant Woman Undergoing Cesarean Section and Intestinal Tract Perforation Restoration].

We describe anesthetic management of a pregnant woman (weight 42 kg, height 147 cm) with ileus, requiring emergency cesarean section and ileus operation. Cesarean section was performed under spinal anesthesia and epidural anesthesia, and ileus operation was performed under total intravenous general anesthesia. During ileus operation, the blood pressure decreased to 60/30 mmHg and the heart rate increased to 140 beats x min, indicating the intestinal traction syndrome. Repeated injections of phenylephrine 0.1 mg and albumin preparation 5% 1,500 ml were required to restore blood pressure. After the operation, the patient's trachea was extubated. The last level of the spinal anesthesia was T6.

[A case of emergency cesarean section complicated with spontaneous spinal epidural hematoma].

Spontaneous spinal epidural hematoma (SSEH) is an especially rare medical condition in pregnancy. We report a case of SSEH in pregnancy. A 29-year-old woman at 39 weeks of pregnancy was transported to our hospital with sudden back pain, incomplete paresis of the right lower extremity and paresthesia of the left lower extremity. Magnetic resonance imaging showed an epidural hematoma at T5-6 vertebral level. Emergency cesarean section and posterior decompression of the thoracic spinal cord were performed under general anesthesia. Vascular malformation and tumor of the spinal cord were not found, and we diagnosed this case as SSEH. The patient and her baby were discharged on the postoperative day 14 without any complications.

[Anesthesia for four pediatric patients with difficult airway in whom airway scope was useful for Intubation].

In the field of pediatric anesthesia, devices to solve difficult airway are scant compare to devices for adult difficult airways. We report successful use of an Airway Scope with a pediatric blade in four children with difficult airways. Difficult tracheal intubation had been predicted in all the children, and two had history of difficult intubation. Tracheal intubation using an Airway Scope was always easy. We conclude that the Airway Scope with a pediatric blade is potentially useful in children with difficult airways.