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[Anesthetic management for elective cesarean section due to placenta previa in a patient with moyamoya disease].
Masui. 2002 Dec; 51(12):1349-51.M

Abstract

We report the anesthetic management of a 31-year-old female patient with moyamoya disease using general anesthesia combined with epidural anesthesia for a cesarean section due to placenta previa. Epidural anesthesia with 10 ml of 2% lidocaine was first used. Then general anesthesia was induced with thiamylal 200 mg and succinylcholine 60 mg just before starting operation and was maintained with 60% nitrous oxide in oxygen. After the delivery, propofol was administered at 3-5 mg.kg-1.hr-1. Except for temporary hypotension due to massive bleeding, systolic blood pressure was maintained between 100 and 120 mmHg. Arterial carbon dioxide tension was maintained at about 40 mmHg. Intracranial blood velocity and regional oxygen saturation were also measured to monitor cerebral blood flow. There was no postoperative pain, and no postoperative neurological defects. On the basis of these findings, it was concluded that general anesthesia combined with epidural anesthesia for elective cesarean section due to placenta previa is effective for perioperative management of a patient with moyamoya disease.

Authors+Show Affiliations

Nagashima M
Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical College, 078-8510.
Nagashima K
No affiliation info available
Endo A
No affiliation info available
Takahata O
No affiliation info available
Sengoku K
No affiliation info available
Iwasaki H
No affiliation info available

MeSH

AdultAnesthesia, EpiduralAnesthesia, GeneralAnesthesia, ObstetricalCesarean SectionElective Surgical ProceduresFemaleHumansMoyamoya DiseasePerioperative CarePlacenta PreviaPregnancyPregnancy Complications, Cardiovascular

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

12607271

Citation

Nagashima, Michio, et al. "[Anesthetic Management for Elective Cesarean Section Due to Placenta Previa in a Patient With Moyamoya Disease]." Masui. the Japanese Journal of Anesthesiology, vol. 51, no. 12, 2002, pp. 1349-51.
Nagashima M, Nagashima K, Endo A, et al. [Anesthetic management for elective cesarean section due to placenta previa in a patient with moyamoya disease]. Masui. 2002;51(12):1349-51.
Nagashima, M., Nagashima, K., Endo, A., Takahata, O., Sengoku, K., & Iwasaki, H. (2002). [Anesthetic management for elective cesarean section due to placenta previa in a patient with moyamoya disease]. Masui. the Japanese Journal of Anesthesiology, 51(12), 1349-51.
Nagashima M, et al. [Anesthetic Management for Elective Cesarean Section Due to Placenta Previa in a Patient With Moyamoya Disease]. Masui. 2002;51(12):1349-51. PubMed PMID: 12607271.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anesthetic management for elective cesarean section due to placenta previa in a patient with moyamoya disease]. AU - Nagashima,Michio, AU - Nagashima,Kimimoto, AU - Endo,Akio, AU - Takahata,Osamu, AU - Sengoku,Kazufumi, AU - Iwasaki,Hiroshi, PY - 2003/2/28/pubmed PY - 2003/4/2/medline PY - 2003/2/28/entrez SP - 1349 EP - 51 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 51 IS - 12 N2 - We report the anesthetic management of a 31-year-old female patient with moyamoya disease using general anesthesia combined with epidural anesthesia for a cesarean section due to placenta previa. Epidural anesthesia with 10 ml of 2% lidocaine was first used. Then general anesthesia was induced with thiamylal 200 mg and succinylcholine 60 mg just before starting operation and was maintained with 60% nitrous oxide in oxygen. After the delivery, propofol was administered at 3-5 mg.kg-1.hr-1. Except for temporary hypotension due to massive bleeding, systolic blood pressure was maintained between 100 and 120 mmHg. Arterial carbon dioxide tension was maintained at about 40 mmHg. Intracranial blood velocity and regional oxygen saturation were also measured to monitor cerebral blood flow. There was no postoperative pain, and no postoperative neurological defects. On the basis of these findings, it was concluded that general anesthesia combined with epidural anesthesia for elective cesarean section due to placenta previa is effective for perioperative management of a patient with moyamoya disease. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/12607271/[Anesthetic_management_for_elective_cesarean_section_due_to_placenta_previa_in_a_patient_with_moyamoya_disease]_ L2 - http://www.diseaseinfosearch.org/result/9608 DB - PRIME DP - Unbound Medicine ER -