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Neuroanesthesia and Pregnancy

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Co-existing Diseases and Neuroanesthesia

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Abstract

Several neurological diseases manifest predominantly in pregnancy. These are usually associated with pregnancy-related conditions: vascular endothelial dysfunction and activation of hormonal receptors on cell surfaces.

Anesthetic management involves a multidisciplinary team to ensure the best outcome of the mother and fetus. General anesthesia (GA) seems to be the safest type of anesthesia to administer during neurological procedures in pregnant patients. Cardiotocography (CTG) monitoring seems less useful, as a silent CTG is a normal consequence of general anesthesia. Fetal heart rate monitoring is more accurate and can be performed easily during neurological procedures in pregnant patients; it is a sensitive marker to obtain significant information about fetal condition during GA. The aim of this chapter is to report recent clinical evidence related to anesthetic management of pregnant women undergoing neurosurgery.

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Author information

Authors and Affiliations

  1. Neurocritical Care Unit, Addenbrookes Hospital, Cambridge, UK

    Valentina Della Torre & Chiara Robba

  2. Ospedale S Cesare Arrigo Biagio Antonio, Alessandria, Italy

    Alessandro Bertuccio

Authors
  1. Valentina Della Torre
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  2. Alessandro Bertuccio
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  3. Chiara Robba
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Editor information

Editors and Affiliations

  1. Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India

    Hemanshu Prabhakar

  2. Department of Neuroanesthesiology and Neurocritical Care, Medanta, The Medicity, Gurugram, India

    Vasudha Singhal

  3. Department of Neuroanaesthesia, Indraprastha Apollo Hospital, New Delhi, India

    Nidhi Gupta

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Torre, V.D., Bertuccio, A., Robba, C. (2019). Neuroanesthesia and Pregnancy. In: Prabhakar, H., Singhal, V., Gupta, N. (eds) Co-existing Diseases and Neuroanesthesia. Springer, Singapore. https://doi.org/10.1007/978-981-13-2086-6_12

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  • DOI: https://doi.org/10.1007/978-981-13-2086-6_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2085-9

  • Online ISBN: 978-981-13-2086-6

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