Anesthesia for Cesarean Section in a Patient with Guillain-Barre Syndrome: Case Report
Background and objectives: Guillain-Barre syndrome during pregnancy is considered a rare neurological complication, and there is no consensus in literature for anesthetic management for cesarean section in such patients. The objective of this paper is to report the case of a pregnant woman with Guil...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2013-07-01
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| Series: | Brazilian Journal of Anesthesiology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001413000146 |
| _version_ | 1818024885073477632 |
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| author | Daniel Volquind Roberto Taboada Fellini Giana Lucho Rose Gabriel Pedro Tarso |
| author_facet | Daniel Volquind Roberto Taboada Fellini Giana Lucho Rose Gabriel Pedro Tarso |
| author_sort | Daniel Volquind |
| collection | DOAJ |
| description | Background and objectives: Guillain-Barre syndrome during pregnancy is considered a rare neurological complication, and there is no consensus in literature for anesthetic management for cesarean section in such patients. The objective of this paper is to report the case of a pregnant woman with Guillain-Barre syndrome undergoing cesarean section. Case Report: Female patient, 22-year old, 35 weeks and 5 days of gestation, undergoing cesarean section, hospitalized, reporting decreased strength and lower limb paresthesias. Cerebrospinal fluid (CSF) analysis showed increased protein (304 mg.dL-1) without increased cellularity. The anesthetic technique used was general anesthesia induced with propofol (1.5 mg.kg-1) and maintained with 2% sevoflurane in oxygen and fentanyl (3 μg.kg-1). The procedure was uneventful for both mother and neonate. The patient was discharged 10 days after admission, after progressive improvement of neurological symptoms. Conclusion: The anesthetic technique for pregnant women with Guillain-Barre syndrome requiring cesarean section remains at the discretion of the anesthesiologist, who should be guided by the clinical conditions and comorbidities of each patient. Keywords: Anesthesia, Obstetrical, Cesarean Section, Guillain-Barre Syndrome |
| first_indexed | 2024-12-10T04:07:19Z |
| format | Article |
| id | doaj.art-ce41d5107203436ea4a5c0ec1b175ff6 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-12-10T04:07:19Z |
| publishDate | 2013-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-ce41d5107203436ea4a5c0ec1b175ff62022-12-22T02:02:49ZengElsevierBrazilian Journal of Anesthesiology0104-00142013-07-01634369371Anesthesia for Cesarean Section in a Patient with Guillain-Barre Syndrome: Case ReportDaniel Volquind0Roberto Taboada Fellini1Giana Lucho Rose2Gabriel Pedro Tarso3Title in Anesthesiology (TSA); Professor of the Universidade de Caxias do Sul; Anesthesiologist of the CAN-Clínica de Anestesiologia de Caxias do Sul, RS, Brazil; Corresponding author. Rua Doutor José Aloysio Brugger, 992/402, Caxias do Sul, RS, Brasil. CEP: 95050-150.Anesthesiologist of the CAN-Clínica de Anestesiologia de Caxias do Sul, RS, BrazilAnesthesiologist of the CAN-Clínica de Anestesiologia de Caxias do Sul, RS, BrazilMedical Student in 4th year at Universidade de Caxias do Sul, RS, BrazilBackground and objectives: Guillain-Barre syndrome during pregnancy is considered a rare neurological complication, and there is no consensus in literature for anesthetic management for cesarean section in such patients. The objective of this paper is to report the case of a pregnant woman with Guillain-Barre syndrome undergoing cesarean section. Case Report: Female patient, 22-year old, 35 weeks and 5 days of gestation, undergoing cesarean section, hospitalized, reporting decreased strength and lower limb paresthesias. Cerebrospinal fluid (CSF) analysis showed increased protein (304 mg.dL-1) without increased cellularity. The anesthetic technique used was general anesthesia induced with propofol (1.5 mg.kg-1) and maintained with 2% sevoflurane in oxygen and fentanyl (3 μg.kg-1). The procedure was uneventful for both mother and neonate. The patient was discharged 10 days after admission, after progressive improvement of neurological symptoms. Conclusion: The anesthetic technique for pregnant women with Guillain-Barre syndrome requiring cesarean section remains at the discretion of the anesthesiologist, who should be guided by the clinical conditions and comorbidities of each patient. Keywords: Anesthesia, Obstetrical, Cesarean Section, Guillain-Barre Syndromehttp://www.sciencedirect.com/science/article/pii/S0104001413000146 |
| spellingShingle | Daniel Volquind Roberto Taboada Fellini Giana Lucho Rose Gabriel Pedro Tarso Anesthesia for Cesarean Section in a Patient with Guillain-Barre Syndrome: Case Report Brazilian Journal of Anesthesiology |
| title | Anesthesia for Cesarean Section in a Patient with Guillain-Barre Syndrome: Case Report |
| title_full | Anesthesia for Cesarean Section in a Patient with Guillain-Barre Syndrome: Case Report |
| title_fullStr | Anesthesia for Cesarean Section in a Patient with Guillain-Barre Syndrome: Case Report |
| title_full_unstemmed | Anesthesia for Cesarean Section in a Patient with Guillain-Barre Syndrome: Case Report |
| title_short | Anesthesia for Cesarean Section in a Patient with Guillain-Barre Syndrome: Case Report |
| title_sort | anesthesia for cesarean section in a patient with guillain barre syndrome case report |
| url | http://www.sciencedirect.com/science/article/pii/S0104001413000146 |
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