medigraphic.com
ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)

2006, Number 2

<< Back Next >>

Rev Mex Anest 2006; 29 (2)

Paraplegia patient carrying of microchip submitted to cesarean

Cortés-Peralta A

Language: Spanish
References: 34
Page: 103-108
PDF size: 97.20 Kb.


ABSTRACT

Objective: Presenting the case of a 32-year-old female paraplegic patient, carrying a satellite-activated microchip, who underwent cesarean section under epidural anesthesia, and the follow-up in the perianesthetic period and over two years. The patient had suffered a car crash two years before; one year after the accident, a satellite-activated microchip was implanted in her, and she gradually recovered the ability to walk. After what was considered a high-risk pregnancy, she underwent a cesarean section under epidural anesthesia with 150 mg lidocaine 2% with epinephrine 1:200 000, plus intravenous fentanyl. Surgery was uneventful, delivering a healthy full-term female. The patient suffered shortness of breath which subsided after 24 hours, and was discharged 48 hours postoperatively. She was monitored at 6, 12 and 24 months, with a satisfactory evolution.


REFERENCES

  1. Hambly PR, Martín B. Anaesthesia for chronic spinal cord lesions. Anaesthesia 1998;53:273-89.

  2. Ingel NAO y cols. Anestesia en neurocirugía: En: Torres MLM. Tratado de anestesia y reanimación, tomo II, ed. Arán, 2001:2541-44.

  3. Andrew AS, Kenneth N. Problemas anestésicos en pacientes con lesión de la médula espinal. En: Duke J, Rosenberg SG. eds. Secretos de la anestesia. Ed. McGraw-Hill Interamericana 1997:389-96.

  4. Evans DE, Kobrine AI, Rizzoli HV. Cardiac arrhythmias accompanying acute compression of the spinal cord. Journal of Neurosurgery 1980;52:529.

  5. Frankel HL, Mathias CJ, Spalding JMK. Mechanisms of reflex cardiac arrest in tetraplegic patients. Lancet 1975;2:1183-5.

  6. Hilton J. A course of lectures on pain and therapeutic influence of mechanical and physiological rest in accidents and surgical diseases. Lancet 1860;2:4014.

  7. Colachis SC. Autonomic hyperreflexia with spinal cord injury. Journal of the American Paraplegia Society 1992; 15:17186.

  8. Head H, Riddoch G. The automatic bladder, excessive sweating and some other reflex conditions, in gross injuries of the spinal cord. Brain 1917;40:188263.

  9. Kurnick NB. Autonomic hyperreflexia and its control in patients’ with spinal cord lesions. Ann Inter Med 1956;44:678.

  10. Amzallag M. Autonomic hyperreflexia. Int Anesthesiol Clin 1993;31:87-102.

  11. Ditunno JF, Formao CS. Chronic spinal cord injury. N Engl J Med 1994;330:550-556.

  12. Debarge O, et al. Plasma catecholamines in tetraplegics. Paraplegia 1974;12:44.

  13. Bader AM. Enfermedades neurológicas y neuromusculares en la paciente obstétrica. En: Clínicas de Anestesiología de Norteamérica, 1998;2:494-5.

  14. Robertson DNS. Pregnancy and labor in the paraplegic. Paraplegia 1972;10:209.

  15. Catanzarite VA, et al. Preterm labor in the quadriplegic parturient. Am J Perinatol 1986;3:115-118.

  16. Greenspoon JS, Paul RH. Paraplegia and quadriplegia: special considerations during pregnancy and labor and delivery. Am J Obstet Gynecol 1986;155:738-741.

  17. Abouleish RI, Hanley ES, Palmer SM. Can epidural fentanyl control autonomic hyperreflexia in a quadriplegic parturient? Anesthesia and Analgesia 1989;68:5236.

  18. Crosby E, St-Jean B, Reid D, Elliott RD. Obstetric anaesthesia and analgesia in chronic spinal cord-injured women. Canadian Journal of Anaesthesia 1992;39:48794.

  19. Kamani AAS. Obstetric anaesthesia and analgesia on chronic spinal cord-injured women (commentary). Canadian Journal of Anaesthesia 1992;39:492.

  20. Schonwald G, Fash KJ, Perkas I. Cardiovascular complications during anesthesia in chronic spinal cord injured patients. Anesthesiology 1981;55:550-8.

  21. Cooperman LH, Strobel GE, Kennell EM. Masive hiperkalemia after administration of succinylcholine. Anesthesiology 1970; 32:161.

  22. Axelsson J, Thesle ES. Study of supersensitivity in denervated mammalian skeletal muscle. J Physiol (Lond) 1959;147:178.

  23. Ezzat A. Enfermedades neurológicas En: Anestesia obstétrica, la paciente con complicaciones; Ed. Manual Moderno 1984;3:69-108.

  24. Adderson JD, Thomas DG. The use of halothane anesthesia to control autonomic hyperreflexia during transurethral surgery in spinal cord injury patients. Paraplegia 1975;13:183-188.

  25. Bezalaa JB, Louville Y. L’ anesthesie des paraplégiques en urologie. La Paraplegie. Paris; Maury 1981:376-384.

  26. Martz DG, Schareibman DL, Majasko MJ. Neurological diseases. In: Katz J Benumof JL, Kadis LB, eds. Anesthesia and uncommon diseases. 3rd ed. Philadelphia: Saunders, 1990:560-589.

  27. Pardina AB. Embarazo y parto en la mujer con lesión medular en fase crónica. Rev Esp Anestesiol Reanim 2001;48:93-96.

  28. James WG, Russell IP. Sistemas digitales basados en microprocesador, información, representación, interpretación y operaciones. Ed. McGraw-Hill; 1983:1-18

  29. Vasconcelos SJ. La información. En: Introducción a la computación. Ed. Publicación Cultural, 2003:11-19.

  30. Texter JH, Reece RW, Hranowsky N. Pentolinium in the management of autonomic hyperreflexia. Journal of Urology 1976;116:3501.

  31. Lambert DH, Deane RS, Mazuzan JE. Anesthesia and the control of blood pressure in patients with spinal cord injury. Anesthesia and Analgesia 1982;61:3448.

  32. Uranga DMA. Desarrollo de un estimulador eléctrico integrado implantable para el control de la micción en lesionados medulares. Tesis de doctorado; Universidad Autónoma de Barcelona. http:// www.tdx.cesca.es/TDX-1211101-100107/

  33. 33.-http://www.christopherreeve.org/,http://www.themiamiproject.org, http://www.spinalcord.org

  34. 34.-http://www.paralysis.org/Resources/Resources.cfm?ID=26359&c=55




2020     |     www.medigraphic.com