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Caesarean delivery in T5 paraplegic following extended ICU stay in second trimester with absolute contraindication to neuraxial blocks
  1. Felix Granovskiy1,
  2. Adam Greenwood2 and
  3. Christopher Jackson2
  1. 1The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA
  2. 2Anesthesiology and Critical Care Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA
  1. Correspondence to Dr Christopher Jackson; cdjackson{at}mfa.gwu.edu

Abstract

Pregnancy in patients with spinal cord injury presents unique challenges to their care teams. While spinal cord injury alters the function of several organ systems, one of the most important consequences is autonomic dysreflexia. Anaesthesia providers must be familiar with the pathophysiology and management of gravid patients with spinal cord injury to manage their deliveries successfully. A multidisciplinary team is essential; close collaboration between the obstetrical and anaesthesiology teams is crucial. The authors will present a case of a successful caesarean delivery in a woman with a T5 injury as well as a recent epidural abscess using general endotracheal anaesthesia.

  • anaesthesia
  • spinal cord
  • pregnancy
  • obstetrics and gynaecology
  • cardiovascular medicine

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Footnotes

  • Contributors Conception and design of the case report: CJ. Acquisition of data: CJ, AG. Analysis and/or interpretation of data: CJ, AG, FG. Drafting the manuscript: FG, AG. Revising the manuscript critically for important intellectual content: FG, AG, CJ. Approval of the version of the manuscript to be published: AG, FG, CJ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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