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Anaesthesia for Caesarean section in Takayasu’s disease

  • Andrew G. Clark
  • Mohamed Al-Qatari
Brief Reports

Abstract

Purpose

We present a case of Takayasu’s Disease (Occlusive Thromboaortopathy — OTAP) in which general anaesthesia was used for Caesarean section with processed encephalographic monitoring to detect cerebral ischaemia.

Clinical features

The patient was a 33-year-old woman in whom OTAP had been the cause of cerebrovascular events. She had the typical pulseless upper body of OTAP and had documented severe bilateral carotid artery stenoses. Regional anaesthesia had failed in the past and she demanded general anaesthesia for Caesarean section. Processed electroencephalography was used to assist in monitoring for signs of cerebral ischaemia and the surgery was uncomplicated.

Conclusion

The use of processed electroencephalographic monitoring allows some assessment of cerebral haemodymamics during general anaesthesia in patients who refuse regional techniques.

Keywords

Caesarean Section Regional Anaesthesia Alfentanil Atracurium Carotid Endarterectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Objectif

Présenter un cas de maladie de Takayasu (thromboaortopathie occlusive — TAPO) subissant une césarienne sous anesthésie générale avec monitoring encéphalographique informatisé pour détecter l’ischémie cérébrale.

Éléments cliniques

La patiente était âgée de 33 ans et la TAPO avait été la cause d’accidents cérébrovasculaires. Elle présentait l’absence de pouls typique dans la portion supérieure du corps et des sténoses bilatérales sévères des carotides avaient été documentées. Ayant connu un échec d’anesthésie régionale dans le passé elle désirait subir sa césarienne sous anesthésie générale. Lélectro-encéphalographie informatisée a été utilisée pour détecter des signes d’ischémie cérébrale et la chirurgie s’est déroulée sans problème.

Conclusion

L’utilisation comme monitoring de l’électro-encéphalographie informatisée permet une certaine évaluation de l’hémodynamie cérébrale durant l’anesthésie générale chez des patients qui refusent l’anesthésie régionale.

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Copyright information

© Canadian Anesthesiologists 1998

Authors and Affiliations

  • Andrew G. Clark
    • 1
  • Mohamed Al-Qatari
    • 1
  1. 1.Department of AnaesthesiaDalhousie University, Saint John Regional HospitalSaint JohnCanada

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